King, Virginia

King, Virginia is an individual health care provider with primary practice located at 1601 W 4Th St , Coffeyville KS 67337-3333. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. King, Virginia can be contacted via phone (620) 251-8180.

Contact Information

Primary practice address
1601 W 4Th St Coffeyville KS 67337-3333
Phone: (620) 251-8180
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 107 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 15-01712 Kansas

Profile Details

NPI number 1578663183
LBN Legal business name King, Virginia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2006
Last updated Sep 4th, 2014 - about 10 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 1578663183 NPPES
Kansas MEDICAID 200436960A

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