Female

Molly M. King PA-C

Medical Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Molly M King PA-C

NPI Number

1336483015

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/19/2012

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9106964

Contact
Information

Purpose

Mailing
Location

Address

2316 INDIAN SPRINGS DR
6555 CHESTER AVE STE 1

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32246-4184
32217-2279

Country

US
US

Telephone Number

(919) 302-9524
(904) 265-8209

Identifiers

Identifier

010438100
PA9106964

Identifier State

FL
FL

Identifier Issuer

Unknown
MEDICAL LICENSE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/28/2020

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