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Individual
DR. KENNETH RAYMOND KING
Active
Individual
DR. KENNETH RAYMOND KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
19887
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042740
ANTHEM
VA
01
—
1326022880
GROUP NPI#
VA
01
—
1942206651
INDIVIDUAL NPI#
VA
01
—
214292
ANTHEM
VA
01
—
51401
OPTIMA
VA
01
—
C00003
MEDICARE GROUP #
VA
01
—
CN5602
RAILROAD MEDICARE GROUP #
—
Enumeration date
06/27/2005
Last updated
11/27/2007
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