| Mrs Olivia Mackenzie King, PA | |
|
4322 Lafayette Blvd., South Bend, IN 46614 | |
| (574) 391-1111 | |
| (574) 859-5040 |
| Full Name | Mrs Olivia Mackenzie King |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 4322 Lafayette Blvd., South Bend, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366276149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Olivia Mackenzie King, PA 4322 Lafayette Blvd., South Bend, IN 46614 Ph: (574) 391-1111 | Mrs Olivia Mackenzie King, PA 4322 Lafayette Blvd., South Bend, IN 46614 Ph: (574) 391-1111 |
Autumn Axline, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-234-8161 | |
Sean Robert Horner, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 2102 E Inwood Rd, South Bend, IN 46614 Phone: 574-299-2411 Fax: 574-299-2410 | |
Gabriela L Taylor, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9294 | |
Ms. Cami Jo Kistenfeger, MPAS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 53880 Carmichael Dr, South Bend, IN 46635 Phone: 574-247-9441 Fax: 745-247-9442 | |
Priya Kaur, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1245 E Ireland Rd, South Bend, IN 46614 Phone: 574-312-7022 | |
Carolyn M Barbus, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 53880 Carmichael Dr, South Bend, IN 46635 Phone: 574-247-9441 Fax: 574-247-9442 | |
Ms. Megan Kathleen Maloney, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St., South Bend, IN 46617 Phone: 574-237-9294 Fax: 574-237-9259 |