Individual
DR. JASON KONRAD KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2118 25TH ST STE D, COLUMBUS, IN 47201-3240
(812) 372-8286
(812) 372-4525
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01043977A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200058330
—
IN
Enumeration date
02/15/2006
Last updated
01/06/2026
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