Individual
MS. AMANDA JEAN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4755 OGLETOWN STANTON RD STE 1E50, NEWARK, DE 19718-5015
(302) 733-1980
(302) 733-1986
Mailing address
335 RADCLIFFE ST, BRISTOL, PA 19007-5015
(215) 589-8718
(888) 370-3385
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C5-0011895
DE
363A00000X
Physician Assistant
MA054873
PA
363AS0400X
Surgical Physician Assistant
Primary
C5-0011895
DE
363AS0400X
Surgical Physician Assistant
MA054873
PA
Other
Enumeration date
07/28/2011
Last updated
04/28/2023
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