Individual
DR. JEFFREY CHARLES KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 JOHN ST STE M-206C, KALAMAZOO, MI 49007-5359
(855) 618-2676
(269) 488-8284
Mailing address
601 JOHN ST STE M-206C, KALAMAZOO, MI 49007-5359
(855) 618-2676
(269) 488-8284
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4301059500
MI
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
4301059500
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003850686
—
MI
01
—
110174
GREAT LAKES HLTH PLN
—
01
—
2003905471
BCBS IND PIN
MI
01
—
200C910540
BCBS GRP PIN
MI
05
—
4290938-10
—
MI
01
—
5315705
AETNA PIN
—
Enumeration date
06/15/2006
Last updated
11/27/2023
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