Amy King, RN, WCC

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

License

R052478 Issued in ME

Practice address

146 Academy St
Suite 1C
Presque Isle, ME 04769-3102

Phone

(207) 768-4457

Fax

(207) 768-4456

NPI assigned

Mar 1, 2010

Sex

Female

Sole proprietor

No

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

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Aroostook Medical Center

  • General Acute Care Hospital
  • Presque Isle, ME
  • NPI 1396858999
  NPD (past)
• The Aroostook Medical Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Presque Isle, ME
  • NPI 1982723037
  NPD (past)

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1720300049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047690151",
            "telephone_number": "207-768-4457",
            "fax_number": "207-768-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 ACADEMY ST",
            "address_2": "SUITE 1C",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693102",
            "telephone_number": "207-768-4457",
            "fax_number": "207-768-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "AMY",
        "credential": "RN, WCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "ME",
            "license": "R052478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Ketch
• Desiree Ketch, MHRT-1
• Fleur L. Kilcollins, MHRT-C
• Leanna Kimball, MHRT-CSP
• Kindness in Development Services, LLC
• Evgeny Kirsanov, M.D.
• Steven K Knox, PHARM D
• Jared Yadon Kohlbacher, DPM
• Paul Barry Krivitsky, M.D.
• Jada Sue Kuhn, CCC-SLP

• Wound Care Registered Nurse in Presque Isle, ME
• Providers in Presque Isle, ME by specialty
• Wound Care Registered Nurse in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.