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Individual

DR. EDWIN KIM KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3212 SW 89TH, SUITE 100, OKLAHOMA CITY, OK 73159-7907
(405) 378-3300
(405) 378-3993
Mailing address
3212 SW 89TH, SUITE 100, OKLAHOMA CITY, OK 73159-7907
(405) 378-3300
(405) 378-9933

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2534
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100200420A
OK
01
P00265485
RAILROAD MEDICARE
OK
Enumeration date
02/01/2006
Last updated
07/23/2015
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