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NPI Code Detail

MEDICARE: DR. JACQUELINE N KING M.D.

MEDICARE:  DR. JACQUELINE N KING  M.D.
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
1207Q00000XFamily Medicine PhysicianU7703TX
2207Q00000XFamily Medicine Physician0101233619VA

General Provider Information

NPI Number : 1598716425
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JACQUELINE N KING M.D.
Provider Business Mailing Address
First Line : 8204 COLLINGWOOD CT
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22308-1600
Country : US
Telephone Number : 301-455-9203
Fax Number :
Provider Business Practice Location Address
First Line : 6020 RICHMOND HWY STE 102
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22303-2157
Country : US
Telephone Number : 571-308-6776
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2006
Last Update Date : 11/13/2023

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Directions to “ DR. JACQUELINE N KING M.D.” Practice Location

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