Provider Demographics
NPI:1427855352
Name:KING, DANIELLE LYNN
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:LYNN
Last Name:KING
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:827 E SNODGRASS RD
Mailing Address - Street 2:
Mailing Address - City:PIQUA
Mailing Address - State:OH
Mailing Address - Zip Code:45356-9109
Mailing Address - Country:US
Mailing Address - Phone:937-570-5403
Mailing Address - Fax:
Practice Address - Street 1:827 E SNODGRASS RD
Practice Address - Street 2:
Practice Address - City:PIQUA
Practice Address - State:OH
Practice Address - Zip Code:45356-9109
Practice Address - Country:US
Practice Address - Phone:937-570-5403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide