Individual
SUZANNE M KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 HOLLY HILLS AVE, SAINT LOUIS, MO 63111-2410
(314) 353-5190
(314) 353-7631
Mailing address
PO BOX 777, RICHLAND, MO 65556-0777
(877) 406-2662
(573) 765-3824
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
R4F75
MO
2084P0800X
Psychiatry Physician
Primary
R4F75
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203210067
—
MO
Enumeration date
12/29/2005
Last updated
01/15/2025
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