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NPI Code Detail

MEDICARE: KARLY KING

MEDICARE: KARLY 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
11041C0700XClinical Social Worker44SC05776800NJ

General Provider Information

NPI Number : 1619419918
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARLY KING
Provider Business Mailing Address
First Line : 109 CAPE MAY AVE
Second Line :
City : ESTELL MANOR
State : NJ
Zip : 08319-1743
Country : US
Telephone Number : 361-960-3939
Fax Number :
Provider Business Practice Location Address
First Line : 419 BETHEL RD STE A
Second Line :
City : SOMERS POINT
State : NJ
Zip : 08244-2189
Country : US
Telephone Number : 609-788-4698
Fax Number : 609-904-5208
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2016
Last Update Date : 10/19/2023

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Directions to “ KARLY KING ” Practice Location

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