King, Nichole Dawn

King, Nichole Dawn is an individual health care provider with primary practice located at 2676 Charlestown Rd Ste 2A , New Albany IN 47150-2574. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. King, Nichole Dawn can be contacted via phone (812) 725-7034.

Contact Information

Primary practice address
2676 Charlestown Rd Ste 2A New Albany IN 47150-2574
Phone: (812) 725-7034
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3007229 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 71003843A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71003843A Indiana

Profile Details

NPI number 1801173398
LBN Legal business name King, Nichole Dawn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2011
Last updated Jul 31st, 2023 - about 2 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 1801173398 NPPES
Other 1799231 WELLCARE
MEDICAID 201324120 WELLCARE
Other CS1817000344 WELLCARE
Other 201324120 WELLCARE
Other 2017085 WELLCARE
Other 000001143240 WELLCARE
Other 6514104 WELLCARE
Other 9086917 WELLCARE
Other 9912737 WELLCARE

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