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NPI Code Detail

MEDICARE: BARBARA J KING FNP, BC, CNP

MEDICARE: BARBARA J KING FNP, BC, 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
1363LF0000XFamily Nurse Practitioner112038MO
2363LF0000XFamily Nurse PractitionerCNP-02719NM

General Provider Information

NPI Number : 1508981820
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA J KING FNP, BC, CNP
Provider Business Mailing Address
First Line : PO BOX 639295 DEPT 93394
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-9295
Country : US
Telephone Number : 248-266-4200
Fax Number : 855-618-6655
Provider Business Practice Location Address
First Line : 8710 MANCHESTER RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63144-2724
Country : US
Telephone Number : 314-961-3570
Fax Number : 314-961-6450
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2007
Last Update Date : 01/08/2024

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