Individual provider · Type 1 NPI

Olivia Mackenzie King, PA

Physician Assistant · South Bend, IN

NPI number 1366276149 Active

Practice location

4322 Lafayette Blvd.
South Bend, IN 46614

Fax (574) 859-5040

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1366276149

Olivia Mackenzie King, PA's National Provider Identifier is 1366276149, issued on Aug 26, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in South Bend, IN. The record was last updated on Aug 26, 2024.