King, Ina

King, Ina is an individual health care provider with primary practice located at 1125 N College Ave , Fayetteville AR 72703-1908. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. King, Ina can be contacted via phone (479) 521-8260.

Contact Information

Primary practice address
1125 N College Ave Fayetteville AR 72703-1908
Phone: (479) 521-8260
Fax: (479) 443-3903
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ANP1041 Arkansas

Profile Details

NPI number 1396795183
LBN Legal business name King, Ina
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Feb 18th, 2010 - about 14 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 1396795183 NPPES
Arkansas Other 59871 BLUE
Arkansas MEDICAID 129773758 BLUE

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