King, Kathryn L

King, Kathryn L is an individual health care provider with primary practice located at 2028 W Poplar Ave Ste 112, Collierville TN 38017-0618. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. King, Kathryn L can be contacted via phone (901) 866-8372.

Contact Information

Primary practice address
2028 W Poplar Ave Ste 112 Collierville TN 38017-0618
Phone: (901) 866-8372
Fax: (901) 302-2372
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN88008 Tennessee

Profile Details

NPI number 1740591437
LBN Legal business name King, Kathryn L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2010
Last updated Feb 1st, 2017 - about 9 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 1740591437 NPPES
Tennessee MEDICAID 1519558

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