King, Tamara Lynn

King, Tamara Lynn is an individual health care provider with primary practice located at 1 Wyoming St Berry Building, Ground Floor, Dayton OH 45409-2722. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Perinatal, Nursing Service Providers / Women's Health Care, Ambulatory, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. King, Tamara Lynn can be contacted via phone (937) 208-2516.

Contact Information

Primary practice address
1 Wyoming St Berry Building, Ground Floor Dayton OH 45409-2722
Phone: (937) 208-2516
Fax: (937) 208-6124
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Perinatal 163WP1700X RN282583 Ohio
Nursing Service Providers / Women's Health Care, Ambulatory 163WW0101X RN282583 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X COA.18661-NP Ohio

Profile Details

NPI number 1073988598
LBN Legal business name King, Tamara Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2015
Last updated Apr 4th, 2016 - about 10 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 1073988598 NPPES
Ohio MEDICAID 0156508

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