Individual
JESSICA L KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
101 E FULTON ST, GARDEN CITY, KS 67846-5455
(620) 275-8400
(620) 275-2687
Mailing address
101 E FULTON ST, GARDEN CITY, KS 67846-5455
(620) 275-8400
(620) 275-2687
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03449
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115652
BCBS #
KS
Enumeration date
11/03/2006
Last updated
07/08/2007
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