Individual
KATHRINE ANN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1070 N 9TH ST, STROUDSBURG, PA 18360-1210
(570) 517-5048
(570) 517-0974
Mailing address
2107 EATON AVE, BETHLEHEM, PA 18018-2005
(610) 570-4172
(570) 517-0974
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
009813
NY
363A00000X
Physician Assistant
5601002969
MI
363A00000X
Physician Assistant
Primary
MA051295
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02566163
—
NY
Enumeration date
11/16/2005
Last updated
11/15/2007
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