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NPI Code Detail

MEDICARE: MS. SARA ELISABETH KING CNP

MEDICARE: MS. SARA ELISABETH KING CNP
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
1363L00000XNurse PractitionerCOA.04159-NPOH

General Provider Information

NPI Number : 1225364011
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SARA ELISABETH KING CNP
Provider Business Mailing Address
First Line : 1 PERKINS SQ
Second Line :
City : AKRON
State : OH
Zip : 44308-1063
Country : US
Telephone Number : 330-308-5432
Fax Number : 330-339-5912
Provider Business Practice Location Address
First Line : 1045 W HIGH AVE
Second Line :
City : NEW PHILADELPHIA
State : OH
Zip : 44663-2071
Country : US
Telephone Number : 330-308-5432
Fax Number : 330-339-5912
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2009
Last Update Date : 12/30/2015

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