Provider Demographics
NPI:1518734243
Name:KING, NIKI CHRISTINE
Entity Type:Individual
Prefix:
First Name:NIKI
Middle Name:CHRISTINE
Last Name:KING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5015 NE 187TH ST
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST PARK
Mailing Address - State:WA
Mailing Address - Zip Code:98155-4341
Mailing Address - Country:US
Mailing Address - Phone:206-714-4161
Mailing Address - Fax:
Practice Address - Street 1:5015 NE 187TH ST
Practice Address - Street 2:
Practice Address - City:LAKE FOREST PARK
Practice Address - State:WA
Practice Address - Zip Code:98155-4341
Practice Address - Country:US
Practice Address - Phone:206-714-4161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider