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Individual

JUDY A. KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1 MEDICAL CENTER DRIVE, HEALTH SCIENCES CENTER, MORGANTOWN, WV 26506-9203
(304) 293-5415
(304) 293-1627
Mailing address
1 MEDICAL CENTER DRIVE, HEALTH SCIENCES CENTER, MORGANTOWN, WV 26506-9203
(304) 293-5415
(304) 293-1627

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
17704
AL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
23471
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000026229
AL
05
00125247
MS
01
11-10267
UNITED HEALTH CARE
AL
05
255641300
FL
01
510269229
BLUE CROSS
AL
Enumeration date
06/02/2006
Last updated
08/04/2016
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