Individual
JENNIFER RAE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8200 W SILVER SPRING DR, MILWAUKEE, WI 53218-2552
(414) 267-8521
(414) 464-6472
Mailing address
8200 W SILVER SPRING DR, MILWAUKEE, WI 53218-2552
(414) 267-8521
(414) 464-6472
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
36971-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32265200
—
WI
Enumeration date
12/20/2006
Last updated
12/01/2021
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