Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 34.014940 | OH |
N | 2080P0204X | Pediatric Emergency Doctor | 34.014940 | OH |
NPI | 1134624885 |
---|---|
Provider Name | Megan A King |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2018 |
Last Update Date | 28/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0298967 | (05) | OH |
H789940 | CGS MEDICARE (01) | OH |