Individual
DR. CHRISTINE MARIE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2001 E ROYALTON RD, BROADVIEW HTS, OH 44147-2811
(440) 717-6100
(440) 546-1382
Mailing address
2001 E ROYALTON RD, BROADVIEW HTS, OH 44147-2811
(440) 717-6100
(440) 546-1382
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35052617
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000525094
ANTHEM
OH
05
—
2414122
—
OH
01
—
25351
QUAL
OH
01
—
F52617
SUMMA
OH
Enumeration date
01/25/2006
Last updated
05/09/2012
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