Individual
ANDREA A KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3525 S NATIONAL AVE STE 205A, SPRINGFIELD, MO 65807-7315
(417) 269-9714
(417) 269-9236
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 730-6430
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2017033358
MO
Other
Enumeration date
09/25/2006
Last updated
09/27/2022
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