Individual
SAMANTHA BETH KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
4855 W CENTRE AVE, PORTAGE, MI 49024-4686
(269) 372-2709
Mailing address
601 JOHN ST # 42, KALAMAZOO, MI 49007-5341
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000471
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
640A312270
BCBS
MI
Enumeration date
11/01/2007
Last updated
12/30/2022
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