Individual
DR. GLENDA L. KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2019 GALISTEO ST, UNIT A4, SANTA FE, NM 87505-2143
(505) 988-3338
(505) 982-3668
Mailing address
2019 GALISTEO ST, UNIT A4, SANTA FE, NM 87505-2143
(505) 988-3338
(505) 982-3668
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
NM296
NM
213ES0103X
Foot & Ankle Surgery Podiatrist
NM296
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01331752
AMERIGROUP
NM
01
—
1093042632
GROUP NPI # FOR CORPORATION
NM
05
—
22952039
—
NM
01
—
4781043
CIGNA
NM
01
—
85207578
MCAID GROUP
NM
01
—
9558062
AETNA
NM
01
—
DR8662
RR MCARE GRP PIN
NM
01
—
NM296
MEDICAL LICENSE #
NM
01
—
NMB2387
MCARE GROUP PIN
NM
01
—
P00972986
RR MCARE IND PIN
NM
Enumeration date
11/01/2006
Last updated
06/14/2015
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