King, Andrea

King, Andrea is an individual health care provider with primary practice located at 2719 Se I St , Bentonville AR 72712-3996. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. King, Andrea can be contacted via phone (543) 747-9273.

Contact Information

Primary practice address
2719 Se I St Bentonville AR 72712-3996
Phone: (543) 747-9273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 364SP0200X A005839 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X A005839 Arkansas

Profile Details

NPI number 1386129898
LBN Legal business name King, Andrea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2018
Last updated May 17th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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