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Individual
JUSTIN KING
Active
Individual
JUSTIN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
36046
NE
208D00000X
General Practice Physician
Primary
36046
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2022
Last updated
06/10/2026
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