Most Relevant Information
Provider Data
| NPI Number: | 1003419847 |
| Provider Name: | KIMBERLY KING |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/16/2020 |
| Last Updated: | 11/16/2020 |
Provider Practice Location
240 THIRD AVENUE SE
LEEDS
ND
58346
Practice Location Phone/Fax
| Phone: | 7013513850 |
| Fax: |
Provider Mailing Location
PO BOX 52
LEEDS
ND
583460052
Provider Mailing Phone/Fax
| Phone: | 7013513850 |
| Fax: |