King, Kevin Richard

King, Kevin Richard is an individual health care provider with primary practice located at 4401 Riverchase Dr , Phenix City AL 36867-7483. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. King, Kevin Richard can be contacted via phone (334) 732-3000.

Contact Information

Primary practice address
4401 Riverchase Dr Phenix City AL 36867-7483
Phone: (334) 732-3000
Fax: (706) 494-3008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 056310 Georgia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 42356 Alabama

Profile Details

NPI number 1104808294
LBN Legal business name King, Kevin Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Apr 12th, 2021 - about 5 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 1104808294 NPPES
Georgia MEDICAID 633050776E

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