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Individual
JEFFREY J KING
Active
Individual
JEFFREY J KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801102724
MI
207P00000X
Emergency Medicine Physician
4301071109
MI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301071109
MI
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
4301071109
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103490237
—
MI
05
—
103490246
—
MI
05
—
104696432
—
MI
01
—
JK071109
BC/BS OF MI
MI
Enumeration date
03/28/2006
Last updated
02/24/2020
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