Individual
MS. TAYLOR JO KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2730 PIERCE ST STE 300, SIOUX CITY, IA 51104-3765
(712) 234-8725
(712) 234-8728
Mailing address
1956 130TH ST, LAWTON, IA 51030-8022
(712) 202-8396
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
107223
IA
363AM0700X
Medical Physician Assistant
107223
IA
363AS0400X
Surgical Physician Assistant
107223
IA
Other
Enumeration date
01/25/2021
Last updated
10/19/2023
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