King, Melissa E

King, Melissa E is an individual health care provider with primary practice located at 1907 W Sycamore St , Kokomo IN 46901-5148. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. King, Melissa E can be contacted via phone (765) 456-5433.

Contact Information

Primary practice address
1907 W Sycamore St Kokomo IN 46901-5148
Phone: (765) 456-5433
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 71005010A Indiana

Profile Details

NPI number 1265849632
LBN Legal business name King, Melissa E
Credentials ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2014
Last updated May 8th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265849632 NPPES
Indiana Other 471400530 MEDICARE
Indiana MEDICAID 201251490 MEDICARE

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