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NPI Code Detail

MEDICARE: EMILY KING DPT

MEDICARE: EMILY KING DPT
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
1208100000XPhysical Medicine & Rehabilitation PhysicianPT4667AR

General Provider Information

NPI Number : 1598319014
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY KING DPT
Provider Business Mailing Address
First Line : PO BOX 11122
Second Line :
City : FORT SMITH
State : AR
Zip : 72917-1122
Country : US
Telephone Number : 479-452-7773
Fax Number : 479-452-7774
Provider Business Practice Location Address
First Line : 5905 REMINGTON CIR
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-6523
Country : US
Telephone Number : 479-452-7774
Fax Number : 479-452-7774
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2019
Last Update Date : 08/01/2019

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Directions to “ EMILY KING DPT” Practice Location

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