Healthcare Provider Details

I. General information

NPI: 1972432110
Provider Name (Legal Business Name): JOSEE LYNN KING AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 37TH AVE SW
MINOT ND
58701-7339
US

IV. Provider business mailing address

1400 37TH AVE SW
MINOT ND
58701-7339
US

V. Phone/Fax

Practice location:
  • Phone: 701-852-6565
  • Fax:
Mailing address:
  • Phone: 701-852-6565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number3078
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: