Individual provider · Type 1 NPI

Dedra Lynn King, RN

Registered Nurse · Lebanon, IN

NPI number 1073400263 Active

Practice location

2605 N Lebanon St
Lebanon, IN 46052-1476

Fax (765) 485-8565

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X0001196155 (VA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1073400263

Dedra Lynn King, RN's National Provider Identifier is 1073400263, issued on Jun 20, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Lebanon, IN. The record was last updated on Jun 20, 2025.