| Krystal King, | |
|
280 N Hospital Dr Ste 5, Price, UT 84501-4211 | |
| (435) 637-4590 | |
| (435) 637-4598 |
| Full Name | Krystal King |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 280 N Hospital Dr Ste 5, Price, Utah |
| 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, 3550 N University Ave Ste 260, Provo, UT 84604-6683 Ph: (801) 374-9625 | Krystal King, 280 N Hospital Dr Ste 5, Price, UT 84501-4211 Ph: (435) 637-4590 |
Samantha Jacquelyn Mclean, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 317 E 100 N, Price, UT 84501 Phone: 435-637-5061 | |
Mrs. Danielle Howa Pendergrass, DNP, APRN, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 77 S 600 E, Suite B, Price, UT 84501 Phone: 435-637-0313 Fax: 435-637-0317 | |
Mrs. Jennifer Rose Benson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 80 S Fairground Rd, Price, UT 84501 Phone: 435-636-3739 | |
Mr. Zachary K Burdick, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 28 South 100 East, Price, UT 84501 Phone: 435-637-2358 | |
Mrs. Connie Kim Quinton, APRN MSN FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 590 E 100 N Ste 6, Price, UT 84501 Phone: 435-613-9466 Fax: 435-613-9469 | |
Jessica Garner, PMHNP-BC, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 N Fairgrounds Rd Ste 3, Price, UT 84501 Phone: 435-299-7083 Fax: 435-637-2176 | |
Donna Mathis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 280 N Hospital Dr, Ste 3, Price, UT 84501 Phone: 435-637-6348 Fax: 435-637-6422 |