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General NPI Number Information
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NPI Number | 1376294538
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Entity Type | Individual
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Provider Name | ANGEL KRISTINA KING DPM
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Gender | Female
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Dates
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Enumeration Date | 01/10/2022
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 1425 PORTLAND AVE
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City | ROCHESTER
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State | NY
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Zip | 14621-3011
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Country | US
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Telephone | 585-683-0682
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Fax | 585-922-2183
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Provider Business Mailing Address
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Address Line | 1020 WHISPERING WOODS TRL APT F
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City | WEBSTER
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State | NY
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Zip | 14580-9692
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Country | US
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Telephone | 219-308-2123
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | P135590
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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