King, Brock K.

King, Brock K. is an individual health care provider with primary practice located at 525 Western Ave Suite 203, Conway AR 72034-4967. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. King, Brock K. can be contacted via phone (501) 327-4828.

Contact Information

Primary practice address
525 Western Ave Suite 203 Conway AR 72034-4967
Phone: (501) 327-4828
Fax: (501) 327-6899
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X E2394 Arkansas

Profile Details

NPI number 1154323921
LBN Legal business name King, Brock K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Nov 18th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154323921 NPPES
Arkansas Other 020048444 MEDICARE RAILROAD
Arkansas Other 1720143 MEDICARE RAILROAD
Arkansas Other 18487000000 MEDICARE RAILROAD
Arkansas MEDICAID 140135001 MEDICARE RAILROAD

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