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NPI Code Detail

MEDICARE: NARIYAH KING

MEDICARE: NARIYAH 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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1942176094
Entity Type Code : Individual
Provider Name (Legal Business Name) : NARIYAH KING
Provider Business Mailing Address
First Line : 3060 S DYE RD
Second Line :
City : FLINT
State : MI
Zip : 48507-1078
Country : US
Telephone Number : 833-478-9464
Fax Number :
Provider Business Practice Location Address
First Line : 6624 RUSTIC RIDGE TRL
Second Line :
City : GRAND BLANC
State : MI
Zip : 48439-4955
Country : US
Telephone Number : 833-478-9464
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2025
Last Update Date : 10/15/2025

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Directions to “ NARIYAH KING ” Practice Location

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