King, Nancy

King, Nancy is an individual health care provider with primary practice located at 1005 Mar Walt Drive Internal Medicine Department, Fort Walton Beach FL 32547-6707. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. King, Nancy can be contacted via phone (850) 863-8100.

Contact Information

Primary practice address
1005 Mar Walt Drive Internal Medicine Department Fort Walton Beach FL 32547-6707
Phone: (850) 863-8100
Fax: (850) 862-6148
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X ND5325 Florida

Profile Details

NPI number 1699875534
LBN Legal business name King, Nancy
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated May 15th, 2008 - about 16 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 1699875534 NPPES
Other 00461299 DIETETIC REGISTRATION

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