Provider Demographics
NPI:1457392730
Name:KING, THERESA LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:THERESA
Middle Name:LEE
Last Name:KING
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:KANSAS UNIVERSITY PHYSICIANS INC
Mailing Address - Street 2:3901 RAINBOW BLVD, 4070 DELP, MS 4017
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-0001
Mailing Address - Country:US
Mailing Address - Phone:913-588-2500
Mailing Address - Fax:
Practice Address - Street 1:3901 RAINBOW BLVD # MS 1020
Practice Address - Street 2:KU MEDICAL CENTER DIV OF GENERAL & GERIATRIC MEDICINE
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-0001
Practice Address - Country:US
Practice Address - Phone:913-588-6005
Practice Address - Fax:913-588-3877
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2013-08-14
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Provider Licenses
StateLicense IDTaxonomies
KST-00567207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine