Individual
KOLETTE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 PENNSYLVANIA AVE SE, WASHINGTON, DC 20003-4316
(202) 839-3459
(202) 839-3459
Mailing address
600 PENNSYLVANIA AVE SE, WASHINGTON, DC 20003-4316
(202) 839-3459
(202) 839-3459
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
18-53495
CA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/23/2018
Last updated
08/23/2024
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