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SAMANTHA KATE KING DNP APRN CNP NPI 1417543703


NPI Information

NPI: 1417543703
Provider Name: SAMANTHA KATE KING, DNP, APRN, CNP
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: CENTRACARE CLINIC

PECOS Registration: Yes

Address:
1200 6TH AVE N
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 252-3342
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Samantha Kate King, DNP, APRN, CNP is a family medicine in Saint Cloud, MN with 4 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Samantha Kate King, DNP, APRN, CNP NPI is 1417543703. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1200 6TH AVE N
SAINT CLOUD, MN
ZIP 56303-736
Phone: (320) 252-3342

The NPI 1417543703 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/21/2020 and was last updated on 12/21/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine7471MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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