Individual provider · Type 1 NPI

Diana Jean King, PA-C

Medical Physician Assistant · Westwood, MA

NPI number 1649532177 Active

Practice location

211 University Ave
Westwood, MA 02090-2333

Mailing address

119 Union St
East Walpole, MA 02032-1023

Other practice locations

  • 220 Route 12, Groton, CT 06340-3414 · (860) 446-6137
  • 111 Brewster St., Memorial Hosp Of Ri Emergency Dept, Pawtucket, RI 02860 · (401) 729-2419

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X4161 (CT)
Medical Physician Assistant 363AM0700XPA00638 (RI)
Medical Physician Assistant Primary 363AM0700XPA4293 (MA)

Medical Physician Assistant: Definition to come...

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About NPI 1649532177

Diana Jean King, PA-C's National Provider Identifier is 1649532177, issued on Jun 11, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Westwood, MA. The record was last updated on Sep 10, 2018.