King, Stephanie

King, Stephanie is an individual health care provider with primary practice located at 5269 Calhoun Memorial Hwy , Easley SC 29640-3865. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. King, Stephanie can be contacted via phone (866) 389-2727.

Contact Information

Primary practice address
5269 Calhoun Memorial Hwy Easley SC 29640-3865
Fax: (864) 306-7615
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 21133 South Carolina

Profile Details

NPI number 1407370620
LBN Legal business name King, Stephanie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2017
Last updated Apr 13th, 2021 - about 5 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 1407370620 NPPES
South Carolina MEDICAID NP4640

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