Healthcare Provider Details

I. General information

NPI: 1710816467
Provider Name (Legal Business Name): INKAYAH KING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2920 W BROAD ST STE 215
RICHMOND VA
23230-5103
US

IV. Provider business mailing address

110 PERRY ST APT 1017
PETERSBURG VA
23803-4167
US

V. Phone/Fax

Practice location:
  • Phone: 757-332-0616
  • Fax:
Mailing address:
  • Phone: 757-332-0616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: