| Kristi M King Phd Ps | |
|
513 223rd Pl Se Bothell WA 98021-8291 | |
| (206) 979-8177 | |
| Not Available |
| Full Name | Kristi M King Phd Ps |
|---|---|
| Speciality | Psychologist |
| Location | 513 223rd Pl Se, Bothell, Washington |
| Authorized Official Name and Position | Kristi M King (PRESIDENT/LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 2069798177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristi M King Phd Ps 513 223rd Pl Se Bothell WA 98021-8291 Ph: (206) 979-8177 | Kristi M King Phd Ps 513 223rd Pl Se Bothell WA 98021-8291 Ph: (206) 979-8177 |
| NPI Number | 1063771541 |
|---|---|
| Provider Enumeration Date | 05/03/2012 |
| Last Update Date | 10/24/2023 |
| Medicare PECOS PAC ID | 5799949780 |
|---|---|
| Medicare Enrollment ID | O20120601000307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063771541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY00001607 (Washington) | Primary |
| Provider Name | Kristi M King |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912002064 PECOS PAC ID: 6608030697 Enrollment ID: I20120601000324 |
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