Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kortrez King, NP

Individual provider Family Nurse Practitioner · NPI 1639879703

Kortrez King, NP is a Nurse Practitioner in Long Beach, California. Qualified in 2020, 6 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2023
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

200 Oceangate Ste 100
Long Beach, CA 90802-4317
Phone: (888) 562-5442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 876 Seminole Rd, Norton Shores, MI 49441-4340 — (231) 903-2044

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704319078 (MI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 4704319078NSA2304W (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704319078 (MI)

Record details

NPI number1639879703
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedMarch 7, 2023
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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