MEDICARE: DR. CALI KING DNP, CRNP, PMHNP-BC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	SP030659	PA

General Provider Information

NPI Number	:	1720809635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CALI KING DNP, CRNP, PMHNP-BC

Provider Business Mailing Address
First Line	:	1307 FEDERAL ST STE 305
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15212-4769
Country	:	US
Telephone Number	:	412-330-4000
Fax Number	:	412-330-4010

Provider Business Practice Location Address
First Line	:	1307 FEDERAL ST STE 305
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15212-4769
Country	:	US
Telephone Number	:	412-330-4000
Fax Number	:	412-330-4010

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

Provider Enumeration Date	:	10/23/2024
Last Update Date	:	05/07/2026

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