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Individual

MS. KARLA R. KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
772 FOXCROFT AVE # 14, MARTINSBURG, WV 25401-1838
(304) 262-8161
(304) 262-6061
Mailing address
772 FOXCROFT AVE # 14, MARTINSBURG, WV 25401-1838
(304) 262-8161
(304) 262-6061

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
770466
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11547365
CAQH ID NUMBER
WV
01
7923672
AETNA
WV
Enumeration date
11/21/2006
Last updated
12/05/2007
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