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Tracie King

NPI 1619889045 · on the registry since 2026 · sole proprietor

Practice

Address
4381 Coatbridge Way
Indianapolis, IN 46254
Phone
(317) 457-0655

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-09-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana