Provider Demographics
NPI:1366746141
Name:KING, CHERYL ANNE (ND)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:ANNE
Last Name:KING
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:CHERI
Other - Middle Name:
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ND
Mailing Address - Street 1:700 FRONT ST STE 201A
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-1805
Mailing Address - Country:US
Mailing Address - Phone:303-997-2297
Mailing Address - Fax:
Practice Address - Street 1:700 FRONT ST STE 201A
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-1805
Practice Address - Country:US
Practice Address - Phone:303-997-2297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-07
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1797175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath