MRS. Kelly Marie King, P.A.

NPI #1235327883 in Tigard, Oregon

Provider Information

NPI Number
1235327883
Entity Type
Individual
Name
MRS. Kelly Marie King, P.A.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Credential
P.A.
Enumeration Date
Oct 9, 2007
Last Updated
Oct 14, 2020

Practice Location

Address
13013 SW CADDY PL
City
Tigard
State
Oregon
ZIP Code
97223-2892
Phone
(503) 766-3263

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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