Individual
RENEE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3636 HIGH ST, PORTSMOUTH, VA 23707-3236
(757) 398-2427
Mailing address
520 CAREN DR, VIRGINIA BEACH, VA 23452-3514
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-005011
VA
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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