King, Lida

King, Lida is an individual health care provider with primary practice located at 1775 Delco Park Drive , Kettering OH 45420. 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, Lida can be contacted via phone (937) 299-2587.

Contact Information

Primary practice address
1775 Delco Park Drive Kettering OH 45420
Phone: (937) 299-2587
Fax: (937) 299-0124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN107296NP1985 Ohio

Profile Details

NPI number 1235224775
LBN Legal business name King, Lida
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 2007 - about 19 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 1235224775 NPPES
Ohio MEDICAID 2226791

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