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NPI Code Detail

MEDICARE: ANNE KING CLD, CHW

MEDICARE:   ANNE  KING  CLD, CHW
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
1172V00000XCommunity Health WorkerNV
2374J00000XDoula14445501AKNC

General Provider Information

NPI Number : 1619508140
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE KING CLD, CHW
Provider Business Mailing Address
First Line : 1828 PLUM CT
Second Line :
City : HENDERSON
State : NV
Zip : 89014-4026
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6290 S PECOS RD STE 400
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-3225
Country : US
Telephone Number : 702-481-3175
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2020
Last Update Date : 02/03/2020

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Directions to “ ANNE KING CLD, CHW” Practice Location

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