Jessica Renee King MD

NPI 1649434200 - Family Medicine - 207Q00000X

NPI Details
NPI 1649434200
Gender Female
Enumeration Date 07/14/2008
Last Updated 05/05/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
851 E 5TH ST
SUITE 213
WASHINGTON MO, 63090-3135, US
Phone (636) 239-8825
Fax (636) 390-5595
Business Location
851 E 5TH ST
SUITE 213
WASHINGTON MO, 63090-3135, US
Phone (636) 239-8825
Fax (636) 390-5595
Toxanomy
Taxonomy Code 207Q00000X
License State Missouri
License Number 2008017836
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According to our database, Dr. Jessica Renee King MD NPI is 1649434200, taxonomy code is 207Q00000X and license number is 2008017836, license state is located at Missouri. Jessica Renee King MD physically located at 851 E 5th St, Washington MO, 63090-3135. NPI Number Jessica Renee King MD has the Individual type.

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1649434200 NPI number is provided on an as is basis without warranty of any kind. 1649434200 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica Renee King MD are for informational purposes only.