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Individual

JACQUELYN DOXIE KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D

Contact information

Practice address
75-5751 KUAKINI HWY, KAILUA KONA, HI 96740-1752
(808) 326-5629
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY-2040
HI
103TC0700X
Clinical Psychologist
PSY-2040
HI

Other

Enumeration date
11/07/2016
Last updated
05/20/2025
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