Individual provider · Type 1 NPI
Kenly King
Family Nurse Practitioner · Marietta, GA
NPI number
1104706449
Active
Practice location
1810 White Cir Ste 105
Marietta, GA 30066-5836
Mailing address
167 Mechelle Ln
Marietta, GA 30066-3633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN304875 (GA) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1104706449
Kenly King's National Provider Identifier is 1104706449, issued on Sep 5, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Marietta, GA. The record was last updated on Sep 5, 2025.