Individual
BRUNETTE MARIE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
516 WEEKS ST, BRUNETTE KING BLUE CLINIC APMC, NEW IBERIA, LA 70560
(150) 823-2048
Mailing address
96 BELMONT CT APT 4, BROCKTON, MA 02301-4703
(337) 380-4757
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
03634R
LA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
121588
NY
207RC0000X
Cardiovascular Disease Physician
03634R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1192911
—
LA
Enumeration date
07/25/2006
Last updated
11/24/2010
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