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Individual

RICHARD A KING

Active
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Individual

RICHARD A KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18601
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0051753
MT
01
04-00123
MEDICA-PRIMARY
MN
01
04-24506
MEDICA-CHOICE
MN
01
089086
FAIRVIEW
MN
05
0974022
IA
01
1010343
PREFERRED ONE
MN
01
101417
U CARE
MN
05
217578900
MN
01
2T154KI
BCBS
MN
Enumeration date
10/13/2006
Last updated
07/09/2007
Update your record

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