Individual
KINSEY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3643 WALTON WAY EXT BLDG 4, AUGUSTA, GA 30909-6677
(706) 364-1404
Mailing address
3643 WALTON WAY EXT BLDG 4, AUGUSTA, GA 30909-6677
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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