| Doctor Name: | KIMBERLY SUZANNE KING |
| NPI Number: | 1033189824 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 4082P |
| Business Practice Address: | 350 Langdon St Somerset, KY - 425032786 |
| Business Phone Number: | 6066788155 |
| Business Fax Number: | 6066787548 |
| Mailing Address: | 350 Langdon St, SOMERSET |
| State: | KY |
| Postal Code: | 425032786 |
| Phone Number: | 6066788155 |
| Fax Number: | 6066787548 |
| NPI Enumeration Date: | 01/24/2006 |
| NPI Last Update Date: | 09/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 4082P |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |