Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | MD60174120 | WA |
N | 207VG0400X | Gynecologist | MD60174120 | WA |
NPI | 1174600183 |
---|---|
Provider Name | Dr. Kristine Michelle King |
First Address | Renton, WA 98057-4970 |
Second Address | Renton, WA 98055-5700 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 15/01/2018 |