Kimberly King
Licensed Vocational Nurse in Tyler, TX. Individual provider (NPI-1).
NPI number1033730486
StatusActive
Last updated in NPPESApr 27, 2020
Details
- NPI
- 1033730486
- Entity type
- Individual (NPI-1)
- Name
- Kimberly King
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 27, 2020
- Certification date
- Apr 27, 2020
- Last updated
- Apr 27, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 177935 | TX | Yes |
Practice location
9846 Hwy 31 ETyler, TX 75705-2329
Phone 903-592-8001
Mailing address
9846 Hwy 31 ETyler, TX 75705-2329
Phone 903-592-8001
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 655 Licensed Vocational Nurse providers in Tyler · All 6,843 providers in Tyler
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