# SAMUEL J KING MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700813094
- **Authorized official:** DR. SAMUEL JEROME KING M. D. (OWNER OF CORPORATION)
- **Authorized official phone:** (606) 432-9400

## Contact information

- **Practice address:** 419 TOWN MOUNTAIN RD, PROFESSIONAL ASSOCIATES BUILDING, SUITE \#204, PIKEVILLE, KY 41501-1631
- **Practice address phone:** (606) 432-9400
- **Practice address fax:** (606) 432-9002
- **Mailing address:** PO BOX 1107, PIKEVILLE, KY 41502-1107
- **Mailing address phone:** (606) 432-9400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/26/2006
- **Last updated:** 10/24/2007