Individual
MR. STEPHEN E KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11866 RICHMOND HWY, APPOMATTOX, VA 24522-7995
(434) 352-9877
(434) 352-4321
Mailing address
PO BOX 99, APPOMATTOX, VA 24522-0099
(434) 352-9877
(434) 352-4321
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102911010
—
VA
05
—
0102911432
—
VA
Enumeration date
08/16/2010
Last updated
08/16/2010
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