Individual
CHRISTOPHER M KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
905 HANSHAW ROAD, SUITE A, ITHACA, NY 14850-1871
(607) 273-6757
(607) 273-2854
Mailing address
905 HANSHAW ROAD, SUITE A, ITHACA, NY 14850-1871
(607) 273-6757
(607) 273-2854
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
288616
NY
2084N0400X
Neurology Physician
42243
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0228
MEDICARE GROUP
KY
01
—
42243
KENTUCKY BOARD OF MEDICAL LICENSURE: LICENSE
KY
01
—
TP985
KY TEMP LICENSE
KY
Enumeration date
07/11/2008
Last updated
04/17/2019
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