Tracy King, LPN
Individual provider Active NPI Licensed Practical Nurse · Addyston, OH
NPI 1992044796 · NPPES record last updated Feb 14, 2013
Key facts
- NPI
- 1992044796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN 83131 (OH)
- Practice address
- 587 Box Lane
Addyston, OH 45001 - Phone
- (859) 307-6364
- NPI assigned
- Feb 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN 83131 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN 83131 | OH | Yes |
Addresses
Primary practice location
587 Box Lane
Addyston, OH 45001
Mailing address
PO Box 587
Addyston, OH 45001
Phone (859) 307-6364
Other providers in Addyston, OH
- Deborah R Pillow MD Inc
- Neah Shanice Johnson
- Mary Elizabeth Monk
- Deborah Rae Pillow
- Senior Deserved Day Care,LLC
- W R Wauligman DDS Inc
- Wayne R Wauligman
All providers in Addyston, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.