Individual
DR. STACEY LYNN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7600 SHAFFER PKWY, LITTLETON, CO 80127-3004
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
054023
CO
207Q00000X
Family Medicine Physician
52410-020
WI
207Q00000X
Family Medicine Physician
ME107540
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002577600
—
FL
01
—
024637
KAISER COMMERCIAL NUMBER
CO
05
—
33188254
—
CO
Enumeration date
04/07/2007
Last updated
06/04/2021
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