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Individual

JENELLE DONITA KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2411 HOLMES STREET, UMKC SCHOOL OF MEDICINE RESIDENCY PROGRAM M2-302, KANSAS CITY, MO 64108-2792
(816) 404-5345
(816) 404-5381
Mailing address
6 JUBILEE COURT, CLARENVILLE, NL A5A15-9
(709) 466-1919

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
05/07/2008
Last updated
05/07/2008
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