IndividualActive
Jeremy King
NPI 1770192973 · Emergency Registered Nurse · Kayenta, AZ
Provider details
- NPI number
- 1770192973
- Entity type
- Individual
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- R104770 (AR)
Practice location
Hwy 160 Mp 394.3
Kayenta, AZ 86033-0368
Phone: (928) 697-4100
Fax: (928) 697-4029
Mailing address
Po Box 368
Kayenta, AZ 86033-0368
Registry dates
- Enumerated
- 2020-07-24
- Last updated
- 2020-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.