King, Kenneth Leroy

King, Kenneth Leroy is an individual health care provider with primary practice located at 1900 Silver Lake Rd Nw , New Brighton MN 55112-1786. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. King, Kenneth Leroy can be contacted via phone (651) 628-9566.

Contact Information

Primary practice address
1900 Silver Lake Rd Nw New Brighton MN 55112-1786
Phone: (651) 628-9566
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1568086346
LBN Legal business name King, Kenneth Leroy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2020
Last updated Jun 8th, 2020 - about 6 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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