King, Mary Ann

King, Mary Ann is an individual health care provider with primary practice located at 900 Earl Frye Blvd Suite A, Amory MS 38821-5507. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. King, Mary Ann can be contacted via phone (662) 256-9331.

Contact Information

Primary practice address
900 Earl Frye Blvd Suite A Amory MS 38821-5507
Fax: (662) 256-9349
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 14668 Mississippi

Profile Details

NPI number 1730143009
LBN Legal business name King, Mary Ann
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Sep 2nd, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730143009 NPPES
Mississippi MEDICAID 00126569

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