Individual
AMY MARIE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
735 US HIGHWAY 24, LEADVILLE, CO 80461-3978
(719) 239-1806
Mailing address
735 US HIGHWAY 24, LEADVILLE, CO 80461-3978
(719) 486-0500
(719) 486-3966
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1490
CO
Other
Enumeration date
05/26/2010
Last updated
10/23/2018
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