King, Tracy Renee

King, Tracy Renee is an individual health care provider with primary practice located at 110 Newcomb Avenue , Mt. Vernon KY 40456. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. King, Tracy Renee can be contacted via phone (606) 256-4613.

Contact Information

Primary practice address
110 Newcomb Avenue Mt. Vernon KY 40456
Phone: (606) 256-4613
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 012823 Kentucky

Profile Details

NPI number 1972622066
LBN Legal business name King, Tracy Renee
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Jul 8th, 2007 - about 17 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 1972622066 NPPES
Kentucky Other 012823 KY PHARMACY LICENSE

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