King, Kenneth

King, Kenneth is an individual health care provider with primary practice located at 3625 University Blvd S Emergency Department, Jacksonville FL 32216-4207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. King, Kenneth can be contacted via phone (904) 346-3606.

Contact Information

Primary practice address
3625 University Blvd S Emergency Department Jacksonville FL 32216-4207
Phone: (904) 346-3606
Fax: (904) 346-0113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X OS0008648 Florida

Profile Details

NPI number 1235117771
LBN Legal business name King, Kenneth
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Jul 23rd, 2007 - about 19 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 1235117771 NPPES
Florida Other 13735 BCBS

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