King, Vernon D

King, Vernon D is an individual health care provider with primary practice located at 3455 Wilkens Ave Ste 208 , Baltimore MD 21229-5265. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. King, Vernon D can be contacted via phone (410) 644-4320.

Contact Information

Primary practice address
3455 Wilkens Ave Ste 208 Baltimore MD 21229-5265
Phone: (410) 644-4320
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X D0043453 Maryland

Profile Details

NPI number 1457465940
LBN Legal business name King, Vernon D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Dec 1st, 2008 - about 18 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 1457465940 NPPES
Maryland MEDICAID 128491600
Maryland Other W2270008
Maryland Other 61489901

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