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Individual
KATIE D KING
Active
Individual
KATIE D KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
69320
MT
363A00000X
Physician Assistant
PA162738
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119263
CURRY MEDICAL CENTER'S MEDICAID
OR
05
—
500658828
—
OR
01
—
93-0937095
CURRY HEALTH DISTRICT'S TAX ID
OR
01
—
R0000ZGBDG
CURRY MEDICAL CENTER'S MEDICARE PART B
OR
Enumeration date
10/31/2011
Last updated
08/26/2026
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