Provider Demographics
NPI:1891784732
Name:KING-SPOHN, KIMBERLY JEAN (MS, CGC)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:JEAN
Last Name:KING-SPOHN
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3461 MARKET ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-4412
Mailing Address - Country:US
Mailing Address - Phone:717-761-6380
Mailing Address - Fax:717-763-4779
Practice Address - Street 1:3461 MARKET ST
Practice Address - Street 2:SUITE 200
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-4412
Practice Address - Country:US
Practice Address - Phone:717-761-6380
Practice Address - Fax:717-763-4779
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS