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Organization
SAMUEL J KING MD
Active
Organization
SAMUEL J KING MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL JEROME KING M. D. (OWNER OF CORPORATION)
(606) 432-9400
Entity
Organization
Contact information
Practice address
419 TOWN MOUNTAIN RD, PROFESSIONAL ASSOCIATES BUILDING, SUITE #204, PIKEVILLE, KY 41501-1631
(606) 432-9400
(606) 432-9002
Mailing address
PO BOX 1107, PIKEVILLE, KY 41502-1107
(606) 432-9400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/26/2006
Last updated
10/24/2007
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