Carley Jo King

Individual provider Active NPI Registered Nurse · Tarentum, PA

NPI 1982124236 · NPPES record last updated Jun 27, 2017

Key facts

NPI
1982124236
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN529660L (PA)
Practice address
702 2ND Ave
Tarentum, PA 15084-2004
Phone
(724) 230-3240
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN529660LPAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN529660L PA Yes

Addresses

Primary practice location

702 2ND Ave
Tarentum, PA 15084-2004

Mailing address

702 2ND Ave
Tarentum, PA 15084-2004
Phone (724) 230-3240

Other providers in Tarentum, PA

All providers in Tarentum, PA · Registered Nurse in Pennsylvania

Sources for this page

Verify at the official NPI Registry.