Individual
JOAN E KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4895 OLENTANGY RIVER RD, SUITE 200, COLUMBUS, OH 43214
(614) 326-1502
(614) 326-3011
Mailing address
4895 OLENTANGY RIVER RD, SUITE 200, COLUMBUS, OH 43214-1926
(614) 326-1502
(614) 326-3011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34-00-5020
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0836457
—
OH
Enumeration date
11/30/2005
Last updated
08/28/2018
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