Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD14521 | ME |
N | 207VG0400X | Gynecologist | MD14521 | ME |
N | 207VX0000X | Obstetrician | MD14521 | ME |
NPI | 1174877187 |
---|---|
Provider Name | Dr. Karen Lynn King |
First Address | Brunswick, ME 04011-9369 |
Second Address | Brunswick, ME 04011-9369 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2012 |
Last Update Date | 30/10/2012 |