Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | ME148144 | FL |
N | 207XS0106X | Orthopaedic Hand Surgeon | ME148144 | FL |
NPI | 1194110999 |
---|---|
Provider Name | Kathryn Sarah King |
First Address | Tampa, FL 33606-3475 |
Second Address | Temple Terrace, FL 33637-0925 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2015 |
Last Update Date | 16/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H8K5W | BCBS FL (01) | FL |