NPI 1255484481
Theresa Shelly King, RCP
Practice location
- Address
- 1901 Mission 66 Suite a, Vicksburg, MS 39180-3711
- Phone
- (601) 638-4076
- Fax
- (601) 638-4979
- Mailing address
- PO Box 822394, Vicksburg, MS 39182-2394
Registered specialties
General Care Certified Respiratory Therapist
Primary
Registry record
- NPI
- 1255484481
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 Jan 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.