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

Mr. Charles King

Individual provider Family Nurse Practitioner · NPI 1790134948

Mr. Charles King is a Nurse Practitioner in Booneville, Kentucky. Qualified in 2016, 10 years ago. Practices with Family Health Care Clinic PSC, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
10
Licensed in
KY
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

826 Ky 11 N
Booneville, KY 41314-9155
Phone: (606) 593-6395
Fax: (606) 593-5916
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 234 Brenwood St, Berea, KY 40403-1637 — (859) 985-0302

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 3010331 (KY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 3010331 (KY)

Record details

NPI number1790134948
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 8, 2016
Last updated in NPPESNovember 2, 2021
Certification dateNovember 2, 2021
Mailing address122 Whispering Hills Dr, Berea, KY 40403-9753

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Family Health Care Clinic Psc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Booneville