Dr. Kellie Ruth King, APRN
Nurse Practitioner, Family in Fort Worth, TX. Individual provider (NPI-1).
NPI number1316554264
StatusActive
Last updated in NPPESMar 28, 2023
Details
- NPI
- 1316554264
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kellie Ruth King
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 24, 2020
- Certification date
- Mar 28, 2023
- Last updated
- Mar 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1017997 | TX | Yes |
| 363LF0000X | Nurse Practitioner, Family | 11009343 | FL |
Practice location
5937 Donnelly AveFort Worth, TX 76107-5811
Phone 682-212-9140
Mailing address
5605 N Macarthur Blvd Ste 400Irving, TX 75038-2693
Phone 469-400-4784
Other practice locations
7043 Miramar
Grand Prairie, TX 75054-5563
Grand Prairie, TX 75054-5563
Phone 561-577-1877
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