Individual provider · Type 1 NPI
Anita King
Medical Physician Assistant · Gary, IN
NPI number
1174298616
Active
Practice location
1100 W 6th Ave
Gary, IN 46402-1711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1174298616
Anita King's National Provider Identifier is 1174298616, issued on Aug 16, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Gary, IN. The record was last updated on Aug 16, 2021.