Provider Demographics
NPI:1740916774
Name:KING, MAURA A (PA-C)
Entity type:Individual
Prefix:
First Name:MAURA
Middle Name:A
Last Name:KING
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Gender:
Credentials:PA-C
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Mailing Address - Street 1:175 COMMONS LOOP SUITE 300
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901
Mailing Address - Country:US
Mailing Address - Phone:406-756-7555
Mailing Address - Fax:406-991-7984
Practice Address - Street 1:175 COMMONS LOOP SUITE 300
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901
Practice Address - Country:US
Practice Address - Phone:406-756-7555
Practice Address - Fax:406-991-7984
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-01
Last Update Date:2025-04-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant