# DR. EVERETT LYLE KING

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1699751024
- **Gender:** Man
- **Credential:** O.D., F.A.A.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | WYOMING 143T | WY | Yes |

## Other

- **Enumeration date:** 12/18/2005
- **Last updated:** 05/15/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 104080400 | — | WY |
| 01 | — | 83-0324373 | TAX ID | WY |