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NPI Code Detail

MEDICARE: MS. KIONNA LOVETT KING

MEDICARE: MS. KIONNA LOVETT KING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1578820940
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KIONNA LOVETT KING
Provider Business Mailing Address
First Line : 5100 S DAKOTA AVE NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20017-2369
Country : US
Telephone Number : 202-341-1281
Fax Number :
Provider Business Practice Location Address
First Line : 7506 GEORGIA AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20012-1608
Country : US
Telephone Number : 202-291-6973
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2012
Last Update Date : 04/23/2012

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Directions to “ MS. KIONNA LOVETT KING ” Practice Location

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