Individual provider · Type 1 NPI
Kortrez King, NP
Family Nurse Practitioner · Long Beach, CA
NPI number
1639879703
Active
Practice location
200 Oceangate Ste 100
Long Beach, CA 90802-4317
Mailing address
876 Seminole Rd
Norton Shores, MI 49441-4340
Other practice locations
- 876 Seminole Rd, Norton Shores, MI 49441-4340 · (231) 903-2044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704319078NSA2304W (MI) |
| Registered Nurse | 163W00000X | 4704319078 (MI) |
| Family Nurse Practitioner Primary | 363LF0000X | 4704319078 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1639879703
Kortrez King, NP's National Provider Identifier is 1639879703, issued on Mar 7, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Long Beach, CA. The record was last updated on Mar 4, 2025.