Individual
SAMUEL JEROME KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
911 BYPASS RD BLDG B, PIKEVILLE, KY 41501-1689
(606) 430-2220
(606) 432-6665
Mailing address
PO BOX 432, PIKEVILLE, KY 41502-0432
(606) 430-2220
(606) 432-6665
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22790
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64227903
—
KY
Enumeration date
06/27/2006
Last updated
03/07/2023
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