Healthcare Provider Details

I. General information

NPI: 1770006017
Provider Name (Legal Business Name): ARTIMESE KING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2017
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7215 WESTSHIRE DR
LANSING MI
48917-9764
US

IV. Provider business mailing address

7215 WESTSHIRE DR
LANSING MI
48917-9764
US

V. Phone/Fax

Practice location:
  • Phone: 517-657-2638
  • Fax:
Mailing address:
  • Phone: 517-657-2638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number7401003138
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: