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Lida King, PNP
Pediatric Nurse Practitioner in Kettering, Ohio
NPI 1235224775

Lida King is a Pediatric Nurse Practitioner based in Kettering, OH and is specialized in Pediatrics. Lida King practices in Kettering, OH and has the professional credentials of PNP. The NPI Number for Lida King is 1235224775 and holds a License No. RN107296NP1985 (Ohio).

The current practice location address for Lida King is 1775 Delco Park Drive, Kettering, OH and can be reached out via phone at 937-299-2587 and via fax at 937-299-0124.

Location: 1775 Delco Park Drive, Kettering, OH, 45420
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235224775
Provider Name
Lida King
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
1775 Delco Park Drive, Kettering, OH, 45420
Phone Number
937-299-2587
Fax Number
937-299-0124
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2226791 05 OH
institution
Provider Business Practice Location Address Details
Address
1775 Delco Park Drive
City
Kettering
State
Ohio
Zip
45420
Phone Number
937-299-2587
Fax Number
937-299-0124
person
Provider Business Mailing Address Details
Address
1775 Delco Park Drive
City
Kettering
State
Ohio
Zip
45420
Phone Number
937-299-2587
Fax Number
937-299-0124
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
RN107296NP1985 (Ohio)
Definition
Definition to come...
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