Healthcare Provider Details

I. General information

NPI: 1235055906
Provider Name (Legal Business Name): ERIN LEA KING RDN, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 PRIMROSE DR
HERSHEY PA
17033-2638
US

IV. Provider business mailing address

155 PRIMROSE DR
HERSHEY PA
17033-2638
US

V. Phone/Fax

Practice location:
  • Phone: 717-574-7383
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDN003168
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number00932701
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDX3814
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number5137
License Number StateAL
# 5
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberLDN0000004528
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: