King, Savannah Marie

King, Savannah Marie is an individual health care provider with primary practice located at 325 W Walnut St , Lebanon KY 40033-1377. 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, Savannah Marie can be contacted via phone (270) 699-9500.

Contact Information

Primary practice address
325 W Walnut St Lebanon KY 40033-1377
Phone: (270) 699-9500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1134768 Kentucky

Profile Details

NPI number 1437614120
LBN Legal business name King, Savannah Marie
Credentials AG-ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2019
Last updated Feb 6th, 2019 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1437614120 NPPES
Kentucky MEDICAID 1134768

Popular Providers