DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRENDA DOREEN KING, 01/01/2011

Active Sole Proprietor

BRENDA DOREEN KING, 01/01/2011 is a Early Intervention Provider Agency healthcare provider located in VINE GROVE, Kentucky. NPI 1659620425 is currently active in the NPPES registry. Verify at CMS.

Early Intervention Provider Agency · VINE GROVE, KY

Registration Details

NPI Number
1659620425
Provider Type
Individual
Gender
Female
NPI Issued
Sep 7, 2012 (13.755641598371 yrs)
Last Updated
Sep 7, 2012
License
252Y00000X (KY)
Sole Proprietor
Yes

Practice Information

Address
301 ELMHURST AVE
VINE GROVE, KY, 401751211
Browse KY providers · Browse ZIP 40175
Phone
2703170669
Primary Specialty
Early Intervention Provider Agency
252Y00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.