Mary Jane King

Licensed Practical Nurse · Mapaville, MO

Individual Active NPI

NPI number 1386477834

Practice location

3657 Baptist Park Rd
Mapaville, MO 63065
Phone
(636) 931-0080

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NPI record

NPI
1386477834
Entity type
Individual (Type 1)
Enumeration date
August 21, 2024
Last updated
August 21, 2024
Certified
August 17, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary 164W00000X 2001004925 MO

Mailing address

565 Wall St
Herculaneum, MO 63048-1126
Phone
(573) 701-6748

About Mary King

Mary Jane King is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 3657 Baptist Park Rd, Mapaville, MO 63065. The NPI number 1386477834 was assigned on August 21, 2024 and the record was last updated on August 21, 2024.

Mary King lists a license in the registry: #2001004925 (MO) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mary Jane King?

The NPI number is 1386477834.

What is the phone number of Mary King?

The phone number listed for the practice location is (636) 931-0080.

Where is Mary King located?

3657 Baptist Park Rd, Mapaville, MO 63065.

What is the taxonomy code for Mary King?

The primary taxonomy code is 164W00000X – Licensed Practical Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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