King, Andrea Kathleen

King, Andrea Kathleen is an individual health care provider with primary practice located at 1227 Baltimore St , Hanover PA 17331-4406. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. King, Andrea Kathleen can be contacted via phone (717) 812-5190.

Contact Information

Primary practice address
1227 Baltimore St Hanover PA 17331-4406
Phone: (717) 812-5190
Fax: (717) 637-2245
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP016335 Pennsylvania

Profile Details

NPI number 1467805754
LBN Legal business name King, Andrea Kathleen
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2016
Last updated May 19th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467805754 NPPES
Pennsylvania MEDICAID 103223639

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