Krystal King, | |
1411 Fillmore St Ste 600, Twin Falls, ID 83301-3343 | |
(208) 933-4400 | |
Not Available |
Full Name | Krystal King |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1411 Fillmore St Ste 600, Twin Falls, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912383498 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | NP-1613A (Idaho) | Secondary |
363LF0000X | Nurse Practitioner - Family | 5530782-4405 (Utah) | Primary |
Entity Name | Utah Surgical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851450720 PECOS PAC ID: 4486686698 Enrollment ID: O20050908000912 |
Entity Name | Home Clinix Utah Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891455895 PECOS PAC ID: 7810376977 Enrollment ID: O20220620001418 |
Mailing Address | Practice Location Address |
---|---|
Krystal King, 11 N Balsam Way, Price, UT 84501-4173 Ph: () - | Krystal King, 1411 Fillmore St Ste 600, Twin Falls, ID 83301-3343 Ph: (208) 933-4400 |
Madison Christine Campbell, MSN, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 815 N College Rd, Twin Falls, ID 83301 Phone: 208-814-9100 Fax: 208-814-9903 | |
Janice Carter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2086 Addison Ave E, Twin Falls, ID 83301 Phone: 208-733-9697 Fax: 208-733-3197 | |
Lesley D. Goulding, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W Ste 302, Twin Falls, ID 83301 Phone: 208-814-8740 Fax: 208-814-8955 | |
Mrs. Amanda Jo Prestigiacomo, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 N Haven Dr, Twin Falls, ID 83301 Phone: 208-904-4780 Fax: 208-904-4832 | |
Mrs. Raemi Dawn Nolevanko, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1000 | |
Reatta Omoth, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2550 Addison Ave E Ste E, Twin Falls, ID 83301 Phone: 208-814-7780 Fax: 208-814-7746 | |
Corinne Bartschi, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1502 Locust St N Ste 700, Twin Falls, ID 83301 Phone: 208-595-5095 |