King, Koretta A

King, Koretta A is an individual health care provider with primary practice located at 152 Queensberry Ct , Greensboro NC 27405-4899. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. King, Koretta A can be contacted via phone (336) 254-3867.

Contact Information

Primary practice address
152 Queensberry Ct Greensboro NC 27405-4899
Phone: (336) 254-3867
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 90647 North Carolina

Profile Details

NPI number 1194325746
LBN Legal business name King, Koretta A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2020
Last updated Oct 31st, 2020 - about 4 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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