Individual
DIANE L. KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6200 STATION DR, BEALETON, VA 22712-9374
(540) 439-8100
(540) 439-8797
Mailing address
550 HOSPITAL DR, WARRENTON, VA 20186-3027
(540) 316-5940
(540) 316-5941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101045014
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005613230
—
VA
Enumeration date
12/04/2006
Last updated
01/23/2015
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