SHELBY ALEXANDRA KING MS - NPI 1255053617 - Student in an Organized Health Care Education/Training Program in Bristol, TN

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Shelby Alexandra King Ms NPPES

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

SHELBY ALEXANDRA KING MS (NPI 1255053617) is an individual student in an organized health care education/training program in Bristol, Tennessee and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1255053617

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSHELBY ALEXANDRA KINGCredential: MS

Location Address208 MEDICAL PARK BLVDBristol, TN 37620-7343

Mailing Address2320 Princeton LnJohnson City, TN 37601-2023 · (859) 967-3108

Phone(423) 989-4050

Sole ProprietorNo

Enumeration DateSeptember 13, 2022

NPPES CertifiedSeptember 13, 2022

✔ NPI 1255053617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

208 MEDICAL PARK BLVD, Bristol, TN 37620

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