Individual
MICKRA HAMILTON KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1679 COONSKIN DR, 130TH MEDICAL GROUP, CHARLESTON, WV 25311-1023
(304) 341-6252
(304) 341-6252
Mailing address
1679 COONSKIN DR, 130TH MEDICAL GROUP, CHARLESTON, WV 25311-1023
(304) 341-6252
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A: 0221
WV
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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