Doctor Name: | ELIZABETH LOUISE KING |
NPI Number: | 1073954863 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 62295 |
Business Practice Address: | 705 6th Ave E Kalispell, MT - 599015008 |
Business Phone Number: | 4067557366 |
Business Fax Number: | 4067557277 |
Mailing Address: | 1970 Four Wheel Dr, WHITEFISH |
State: | MT |
Postal Code: | 599378022 |
Phone Number: | 4355356951 |
Fax Number: | |
NPI Enumeration Date: | 07/10/2013 |
NPI Last Update Date: | 07/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 62295 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |