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Contact Information

GLENDA L KING, DPM
2019 GALISTEO ST
UNIT A4
SANTA FE, NM87505-2143
 Phone: 505-988-3338
 Fax: 505-982-3668
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for GLENDA L KING · (Female)

NPI Number 1730266032
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 11/01/2006
Last updated 06/14/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NM License # NM296
  • NM Medicaid 22952039
  • NM Other 9558062 AETNA
  • NM Other 01331752 AMERIGROUP
  • NM Other 4781043 CIGNA
  • NM Other 1093042632 GROUP NPI # FOR CORPORATION
  • NM Other 85207578 MCAID GROUP
  • NM Other NMB2387 MCARE GROUP PIN
  • NM Other NM296 MEDICAL LICENSE #
  • NM Other DR8662 RR MCARE GRP PIN
  • NM Other P00972986 RR MCARE IND PIN
Hospital affiliation(s)
  • LOS ALAMOS MEDICAL CENTER - (Acute Care)
    3917 WEST ROAD
    LOS ALAMOS, NM 87544
  • ST VINCENT HOSPITAL - (Acute Care)
    455 ST MICHAEL'S DRIVE
    SANTA FE, NM 87505
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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