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Individual

DR. ALICIA ANN KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O., MPH

Contact information

Practice address
102 HOSPITALITY DR, SIKESTON, MO 63801-9382
(573) 471-0200
Mailing address
1008 N MAIN ST, SIKESTON, MO 63801-5044
(573) 471-0200

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
2019000490
MO
207Q00000X
Family Medicine Physician
2016021991
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200071642
MO
Enumeration date
07/26/2016
Last updated
09/17/2021
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