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Individual

DR. MELONIE DAWN KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1800 E COPLIN ST, OKEMAH, OK 74859-4642
(918) 623-1424
Mailing address
379126 E 1140 RD, OKEMAH, OK 74859-1633
(918) 851-6997

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5074
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
42551
OBNDD
OK
01
5074
OK STATE LICENSE NUMBER
OK
Enumeration date
05/20/2010
Last updated
01/04/2023
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