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NPI Code Detail

MEDICARE: SHAWNICE KING

MEDICARE:   SHAWNICE  KING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1372600000XAdult CompanionNE
23747P1801XPersonal Care AttendantNE
3372500000XChore ProviderNE

General Provider Information

NPI Number : 1487586780
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAWNICE KING
Provider Business Mailing Address
First Line : 4001 MIAMI ST
Second Line :
City : OMAHA
State : NE
Zip : 68111-3430
Country : US
Telephone Number : 531-372-5828
Fax Number :
Provider Business Practice Location Address
First Line : 4001 MIAMI ST
Second Line :
City : OMAHA
State : NE
Zip : 68111-3430
Country : US
Telephone Number : 531-372-5828
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/02/2026

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Directions to “ SHAWNICE KING ” Practice Location

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