MEDICARE: DR. PATRICIA KING MD

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
1	207R00000X	Internal Medicine Physician		VT

Other Identifiers

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

General Provider Information

NPI Number	:	1497869226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA KING MD

Provider Business Mailing Address
First Line	:	832 S PROSPECT ST
Second Line	:
City	:	BURLINGTON
State	:	VT
Zip	:	05401-3513
Country	:	US
Telephone Number	:	802-862-7705
Fax Number	:

Provider Business Practice Location Address
First Line	:	87 MAIN ST
Second Line	:
City	:	ESSEX JCT
State	:	VT
Zip	:	05452-3234
Country	:	US
Telephone Number	:	802-847-8354
Fax Number	:	802-847-6575

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	07/08/2007

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