MRS. Olivia Mackenzie King, PA
NPI #1366276149 in South Bend, Indiana
Provider Information
- NPI Number
- 1366276149
- Entity Type
- Individual
- Name
- MRS. Olivia Mackenzie King, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Aug 26, 2024
- Last Updated
- Aug 26, 2024
Practice Location
- Address
- 4322 LAFAYETTE BLVD.
- City
- South Bend
- State
- Indiana
- ZIP Code
- 46614
- Phone
- (574) 391-1111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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