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NPI Code Detail

MEDICARE: DR. KATHLEEN STROMAN KING PHD

MEDICARE:  DR. KATHLEEN STROMAN KING  PHD
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
1103T00000XPsychologist116309-2501UT

General Provider Information

NPI Number : 1598742231
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHLEEN STROMAN KING PHD
Provider Business Mailing Address
First Line : 4190 HIGHLAND DR
Second Line : SUITE 210
City : SALT LAKE CITY
State : UT
Zip : 84124-2600
Country : US
Telephone Number : 801-943-7897
Fax Number : 801-278-8504
Provider Business Practice Location Address
First Line : 4190 HIGHLAND DR
Second Line : SUITE 210
City : SALT LAKE CITY
State : UT
Zip : 84124-2600
Country : US
Telephone Number : 801-943-7897
Fax Number : 801-278-8504
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2005
Last Update Date : 08/26/2007

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Directions to “ DR. KATHLEEN STROMAN KING PHD” Practice Location

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