Debra Cannon King, MS, RD, LD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD004251 Issued in GA

Practice address

7950 Martin Loop
Martin Army Community Hospital
Ft. Benning, GA 31905-5637

Phone

(706) 544-2273

NPI assigned

Aug 26, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1104226265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 WICKERSHAM AVE",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319056814",
            "telephone_number": "913-219-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 MARTIN LOOP",
            "address_2": "MARTIN ARMY COMMUNITY HOSPITAL",
            "city": "FT. BENNING",
            "state": "GA",
            "postal_code": "319055637",
            "telephone_number": "706-544-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "DEBRA",
        "middle_name": "CANNON",
        "credential": "MS, RD, LD, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD004251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie M Keyes, PHARM D.
• Azra Khan, PHARM.D
• Emma Kidd, OTR/L
• Kelsea Killin, DO
• Aujin Kim, DMD
• Sharon Denise Kleckley, CCC-SLP
• Michael Kostenko, MD
• Blaze Krogh, DMD
• Christopher J Kulhavy, M.D.
• Gregory Martin Lai, MD

• Registered Dietitian in Ft. Benning, GA
• Providers in Ft. Benning, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.