King, Angela D

King, Angela D is an sole proprietor health care provider with primary practice located at 345 N Riverview St Ste 500 , Wichita KS 67203-4265. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. King, Angela D can be contacted via phone (316) 616-1055.

Contact Information

Primary practice address
345 N Riverview St Ste 500 Wichita KS 67203-4265
Phone: (316) 616-1055
Fax: (855) 633-0585
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 44853 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 44853 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 44852 Kansas

Profile Details

NPI number 1023058005
LBN Legal business name King, Angela D
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2006
Last updated Jan 11th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023058005 NPPES
Kansas MEDICAID 100354970A

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