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NPI Code Detail

MEDICARE: DR. CHRISTINE MARIE KING MD

MEDICARE: DR. CHRISTINE MARIE KING MD
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
1207Q00000XFamily Medicine Physician35052617OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000525094OTHEROHANTHEM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
325351OTHEROHQUAL
4F52617OTHEROHSUMMA

General Provider Information

NPI Number : 1821068560
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINE MARIE KING MD
Provider Business Mailing Address
First Line : 2001 E ROYALTON RD
Second Line :
City : BROADVIEW HTS
State : OH
Zip : 44147-2811
Country : US
Telephone Number : 440-717-6100
Fax Number : 440-546-1382
Provider Business Practice Location Address
First Line : 2001 E ROYALTON RD
Second Line :
City : BROADVIEW HTS
State : OH
Zip : 44147-2811
Country : US
Telephone Number : 440-717-6100
Fax Number : 440-546-1382
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2006
Last Update Date : 05/09/2012

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Directions to “ DR. CHRISTINE MARIE KING MD” Practice Location

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