Most Relevant Information
Provider Data
| NPI Number: | 1003301375 |
| Provider Name: | KRISTEN KING NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | AP10033 |
Most Important Dates
| Enumeration Date: | 06/28/2018 |
| Last Updated: | 06/28/2018 |
Provider Practice Location
15790 PAUL VEGA MD DR
HAMMOND
LA
704031436
Practice Location Phone/Fax
| Phone: | 9852303066 |
| Fax: | 9852302072 |
Provider Mailing Location
15790 PAUL VEGA MD DR
HAMMOND
LA
704031436
Provider Mailing Phone/Fax
| Phone: | 9852303066 |
| Fax: | 9852302072 |