Individual
KEVIN RICHARD KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4401 RIVERCHASE DR, PHENIX CITY, AL 36867-7483
(334) 732-3000
(706) 494-3008
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3072
(706) 494-3008
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
056310
GA
208M00000X
Hospitalist Physician
Primary
42356
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
633050776E
—
GA
Enumeration date
11/15/2005
Last updated
04/12/2021
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