Individual provider · Type 1 NPI

Berenice Jimenez King, DO

Student in an Organized Health Care Education/Training Program · Fayetteville, AR

NPI number 1114642055 Active

Practice location

3 E Appleby Rd Ste 302
Fayetteville, AR 72703-3160

Call (479) 404-1400 Map

Fax (479) 404-1401

Mailing address

3 E Appleby Road, Suite 302
Fayetteville, AR 72703-3160

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114642055

Berenice Jimenez King, DO's National Provider Identifier is 1114642055, issued on Oct 4, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fayetteville, AR. The record was last updated on Aug 19, 2025.