Individual provider · Type 1 NPI

Samantha Jo King

Student in an Organized Health Care Education/Training Program · Minneapolis, MN

NPI number 1407558505 Active

Practice location

420 Delaware St SE
Minneapolis, MN 55455-0341

Mailing address

6908 Nicollet Ave
Richfield, MN 55423-2407

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 1407558505

Samantha Jo King's National Provider Identifier is 1407558505, issued on Mar 21, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Minneapolis, MN. The record was last updated on Mar 21, 2023.