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NPI Code Detail

MEDICARE: ELIZABETH KING M.D.

MEDICARE: ELIZABETH 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 Physician110210CA
2207Q00000XFamily Medicine Physician036135031IL
3207Q00000XFamily Medicine Physician69041WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649478843
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH KING M.D.
Provider Business Mailing Address
First Line : N20W22961 WATERTOWN RD
Second Line :
City : WAUKESHA
State : WI
Zip : 53186-1308
Country : US
Telephone Number : 262-875-5070
Fax Number : 866-384-9486
Provider Business Practice Location Address
First Line : N20W22961 WATERTOWN RD
Second Line :
City : WAUKESHA
State : WI
Zip : 53186-1308
Country : US
Telephone Number : 262-875-5070
Fax Number : 866-384-9486
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2007
Last Update Date : 11/18/2025

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