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NPI Code Detail

MEDICARE: KRISTA KING

MEDICARE: KRISTA 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
1207V00000XObstetrics & Gynecology Physician4351056271MI

General Provider Information

NPI Number : 1457190712
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTA KING
Provider Business Mailing Address
First Line : 1215 E MICHIGAN AVE
Second Line :
City : LANSING
State : MI
Zip : 48912-1811
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1215 E MICHIGAN AVE
Second Line :
City : LANSING
State : MI
Zip : 48912-1811
Country : US
Telephone Number : 517-364-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2024
Last Update Date : 05/05/2026

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Directions to “ KRISTA KING ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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