Kimberly Jo King, CPNP-PC - Nurse Practitioner in Boise, ID

Kimberly Jo King, CPNP-PC is a Nurse Practitioner - Pediatrics physician based in Boise, Idaho. Kimberly Jo King is licensed to practice in Idaho (license number 58448) and her current practice location is 209 W Main St, Boise, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 608-6642.

NPI number for Kimberly Jo King is 1528562899 and her current mailing address is 209 W Main St, Boise, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528562899.

Contact Information

Kimberly Jo King, CPNP-PC
209 W Main St,
Boise, ID 83702
(208) 608-6642
Not Available



Physician's Profile

Full NameKimberly Jo King
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location209 W Main St, Boise, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1528562899
  • Provider Enumeration Date: 03/21/2018
  • Last Update Date: 05/18/2018

Medical Identifiers

Medical identifiers for Kimberly Jo King such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528562899NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics N-31500 (Idaho)Secondary
363LP0200XNurse Practitioner - Pediatrics 58448 (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Jo King is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimberly Jo King, CPNP-PC
209 W Main St,
Boise, ID 83702-7263

Ph: (208) 608-6642
Kimberly Jo King, CPNP-PC
209 W Main St,
Boise, ID 83702

Ph: (208) 608-6642

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