| Doctor Name: | MS. PAMELA HELEN KING |
| NPI Number: | 1124052527 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PMHNP, CNS BC |
| License Number: | F400449-1 |
| Business Practice Address: | 1387 Fairport Rd Building 600 Suite 660 Fairport, NY - 144502003 |
| Business Phone Number: | 5853888020 |
| Business Fax Number: | 5853888023 |
| Mailing Address: | 5757 Dalton Dr, FARMINGTON |
| State: | NY |
| Postal Code: | 144259328 |
| Phone Number: | 5853983575 |
| Fax Number: | 5853888023 |
| NPI Enumeration Date: | 07/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | F400449-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |