Doctor Name: | BETHANY J KING |
NPI Number: | 1063621449 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 25MA08944200 |
Business Practice Address: | 85 Spring St Suite 103 Laconia, NH - 032463113 |
Business Phone Number: | 6035247402 |
Business Fax Number: | 6035240945 |
Mailing Address: | Po Box 2010, LACONIA |
State: | NH |
Postal Code: | 032472010 |
Phone Number: | 6035243211 |
Fax Number: | 6035277038 |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 12/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207YX0905X |
License Number: | 25MA08944200 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Otolaryngology |
Taxonomy Specialization: | Otolaryngology/Facial Plastic Surgery |
Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |