Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 62820 | WI |
NPI | 1104091685 |
---|---|
Provider Name | Dr. Cara Robinson King |
First Address | Madison, WI 53711-2228 |
Second Address | Madison, WI 53711-2228 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2008 |
Last Update Date | 26/04/2019 |