Individual
AMIE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COLLEGE DEGREE
Contact information
Practice address
183 VIRGINIA CANYON ROAD, IDAHO SPRINGS, CO 80452-0487
(720) 690-9289
Mailing address
PO BOX 487, IDAHO SPRINGS, CO 80452-0487
(720) 690-9289
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
CO
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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