MEDICARE: DR. KATHERINE ELIZABETH KING DO

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	207L00000X	Anesthesiology Physician	82058-21	WI

General Provider Information

NPI Number	:	1861072076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHERINE ELIZABETH KING DO

Provider Business Mailing Address
First Line	:	11750 SW 40TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-3530
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11750 SW 40TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-3530
Country	:	US
Telephone Number	:	305-223-3000
Fax Number	:

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

Provider Enumeration Date	:	04/12/2021
Last Update Date	:	12/08/2025

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