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NPI Code Detail

MEDICARE: ALESHA KING LPN

MEDICARE:   ALESHA  KING  LPN
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
1164W00000XLicensed Practical Nurse331200-1NY

General Provider Information

NPI Number : 1568964716
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALESHA KING LPN
Provider Business Mailing Address
First Line : 28 HILL DR
Second Line :
City : ROCHESTER
State : NY
Zip : 14626-1810
Country : US
Telephone Number : 585-255-0740
Fax Number :
Provider Business Practice Location Address
First Line : 28 HILL DR
Second Line :
City : ROCHESTER
State : NY
Zip : 14626-1810
Country : US
Telephone Number : 585-255-0740
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2018
Last Update Date : 03/05/2018

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