Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE KING
Active Sole ProprietorAmbulatory Surgical Center · MERIDIAN, ID
Registration Details
- NPI Number
- 1871749408
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 14, 2008 (17.685258977346 yrs)
- Last Updated
- Aug 14, 2008
- Sole Proprietor
- Yes
Practice Information
- Address
-
3630 E LOUISE DRMERIDIAN, ID, 836427975Browse ID providers · Browse ZIP 83642
- Phone
- 2083779515
- Fax
- 2083779517
- Primary Specialty
-
Ambulatory Surgical Center
261QA1903X
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.