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Kim J. King

Community Health Worker in Albany, OR. Individual provider (NPI-1).

NPI number1164061669
StatusActive
Last updated in NPPESDec 31, 2019

Details

NPI
1164061669
Entity type
Individual (NPI-1)
Name
Mrs. Kim J. King
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 31, 2019
Certification date
Dec 31, 2019
Last updated
Dec 31, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

1305 Hill St Se
Albany, OR 97322-6711

Phone 541-808-8204

Mailing address

1305 Hill St Se
Albany, OR 97322-6711

Phone 541-808-8204

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