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Individual

KATIE D KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
310 SUNNYVIEW LN, KALISPELL, MT 59901-3129
(406) 752-1733
Mailing address
310 SUNNYVIEW LN, KALISPELL, MT 59901-3129

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
69320
MT
363A00000X
Physician Assistant
PA162738
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
119263
CURRY MEDICAL CENTER'S MEDICAID
OR
05
500658828
OR
01
93-0937095
CURRY HEALTH DISTRICT'S TAX ID
OR
01
R0000ZGBDG
CURRY MEDICAL CENTER'S MEDICARE PART B
OR
Enumeration date
10/31/2011
Last updated
02/07/2021
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