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NPI Code Detail

MEDICARE: KIM KING OTR/L

MEDICARE: KIM KING OTR/L
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
1225X00000XOccupational Therapist05101MD
2225X00000XOccupational TherapistOT15727FL

General Provider Information

NPI Number : 1780908145
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIM KING OTR/L
Provider Business Mailing Address
First Line : 8395 TAMAR DR
Second Line : APT 232
City : COLUMBIA
State : MD
Zip : 21045-5710
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8395 TAMAR DR
Second Line : APT 232
City : COLUMBIA
State : MD
Zip : 21045-5710
Country : US
Telephone Number : 202-746-7259
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2010
Last Update Date : 09/05/2025

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Directions to “ KIM KING OTR/L” Practice Location

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