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Organization
KINGS PRACTICE PLLC
Active
Organization
KINGS PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KANDICE WAUL-BENNETT MD (OWNER)
(361) 355-9285
Entity
Organization
Contact information
Practice address
2123 WRIGHTS WAY, PITTSBURGH, PA 15203-1920
(412) 990-2559
Mailing address
5831 FORWARD AVE STE 1037, PITTSBURGH, PA 15217-2301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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