# RACHEL KING

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1205826245
- **Gender:** F
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA521 | ID | Yes |

## Other

- **Enumeration date:** 10/21/2005
- **Last updated:** 07/21/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000010148622 | BLUE SHIELD | ID |
| 01 | — | 000010148623 | BLUE SHIELD | ID |
| 05 | — | 807029900 | — | ID |
| 01 | — | PACD0 | BLUE CROSS | ID |
| 01 | — | PAMR8 | BLUE CROSS | ID |
