Individual
KIMBERLY JEAN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFA
Contact information
Practice address
1812 N CAPITOL AVE, INDIANAPOLIS, IN 46202-1218
(317) 962-8613
(317) 962-5961
Mailing address
1812 N CAPITOL AVE, INDIANAPOLIS, IN 46202-1218
(317) 962-8613
(317) 962-5961
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
85000114A
IN
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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