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NPI Code Detail

MEDICARE: KATE KING CPM, LM

MEDICARE:   KATE  KING  CPM, LM
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
1261QB0400XBirthing Clinic/Center99462TX

General Provider Information

NPI Number : 1669138061
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATE KING CPM, LM
Provider Business Mailing Address
First Line : 7000 CONVICT HILL RD APT 6204
Second Line :
City : AUSTIN
State : TX
Zip : 78749-1734
Country : US
Telephone Number : 510-485-1795
Fax Number : 510-768-8680
Provider Business Practice Location Address
First Line : 610 MAIN ST STE 2A
Second Line :
City : BUDA
State : TX
Zip : 78610-9414
Country : US
Telephone Number : 510-485-1795
Fax Number : 510-768-8680
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2021
Last Update Date : 02/03/2026

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Directions to “ KATE KING CPM, LM” Practice Location

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