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NPI Code Detail

MEDICARE: VIRGINIA LEAH KING FNP-BC

MEDICARE:   VIRGINIA LEAH KING  FNP-BC
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
1363LF0000XFamily Nurse PractitionerCOA.17442-NPOH
2163W00000XRegistered NurseRN307513OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457735136
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRGINIA LEAH KING FNP-BC
Provider Business Mailing Address
First Line : 1511 W BROAD ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43222-1000
Country : US
Telephone Number : 614-222-3525
Fax Number : 614-222-3608
Provider Business Practice Location Address
First Line : 1511 W BROAD ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43222-1000
Country : US
Telephone Number : 614-222-3525
Fax Number : 614-222-3608
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2015
Last Update Date : 03/02/2016

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Directions to “ VIRGINIA LEAH KING FNP-BC” Practice Location

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