Individual provider · Type 1 NPI
Kelly Marie King, P.A.
Medical Physician Assistant · Tigard, OR
NPI number
1235327883
Active
Practice location
13013 SW Caddy Pl
Tigard, OR 97223-2892
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | LL17410 (OR) |
Medical Physician Assistant: Definition to come...
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About NPI 1235327883
Kelly Marie King, P.A.'s National Provider Identifier is 1235327883, issued on Oct 9, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tigard, OR. The record was last updated on Oct 14, 2020.