Individual
MRS. MICHELLE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
4118 MONTHAVEN PARK PL, HENDERSONVILLE, TN 37075-7013
(859) 806-3307
Mailing address
4118 MONTHAVEN PARK PL, HENDERSONVILLE, TN 37075-7013
(859) 806-3307
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA665
KY
Other
Enumeration date
02/17/2006
Last updated
03/23/2016
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