KORETTA A KING
NPI 1194325746
Licensed Practical Nurse in Greensboro, NC

Active since October 31, 2020
152 QUEENSBERRY CT, GREENSBORO, NC 27405(336) 254-3867 Get Directions Write a Review

NPPES record last updated: October 31, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Koretta A King NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KORETTA A KING (NPI 1194325746) is an individual licensed practical nurse in Greensboro, North Carolina, licensed in North Carolina (90647) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1194325746
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKORETTA A KING
Location Address152 QUEENSBERRY CTGreensboro, NC 27405-4899
Mailing Address152 Queensberry CtGreensboro, NC 27405-4899 · (336) 254-3867
Sole ProprietorNo
Enumeration DateOctober 31, 2020
NPPES CertifiedOctober 31, 2020
NPI 1194325746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NC · 90647
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
152 QUEENSBERRY CT, Greensboro, NC 27405

Other Names 1

Former Name (1)Koretta King Lpn

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Koretta King's NPI number?

The NPI number for Koretta King is 1194325746. It was assigned to this individual provider in the NPPES registry on October 31, 2020. The provider is also known as Koretta King Lpn.

Where is Koretta King located?

Koretta King practices at 152 Queensberry Ct, Greensboro, NC 27405. The listed phone number is (336) 254-3867.

What is Koretta King's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Koretta King was last updated on October 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.