Organization
WESTERN KENTUCKY NEUROLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER MICHAEL KING M.D. (NEUROLOGIST)
(713) 419-1592
Entity
Organization
Contact information
Practice address
300 S 8TH ST, SUITE 282 WEST, MURRAY, KY 42071-2400
(713) 419-1592
Mailing address
2108 DARBY DAN DR, MURRAY, KY 42071-7119
(713) 419-1592
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
42243
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043474844
TYPE 1 NPI NUMBER
—
01
—
11877669
CAQH PROVIDER ID
—
01
—
42243
KENTUCKY BOARD OF MEDICAL LICENSURE: LICENSE NUMBER
KY
05
—
7100084760
—
KY
Enumeration date
03/26/2010
Last updated
06/04/2010
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