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Individual

DR. KATELYN KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3090 CARUSO CT, ORLANDO, FL 32806-8564
(321) 841-5236
Mailing address
3090 CARUSO CT, ORLANDO, FL 32806-8564
(321) 841-5236

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME166478
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN33856
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ME166478
MEDICAL LICENSE
FL
01
TRN33856
TRAINING LICENSE
FL
Enumeration date
06/28/2021
Last updated
07/03/2024
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