Individual
MR. RANDY ALAN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.P.O.
Contact information
Practice address
1065 13TH ST SE, HICKORY, NC 28602-4165
(828) 327-8777
(828) 327-8771
Mailing address
1065 13TH ST SE, HICKORY, NC 28602-4165
(828) 327-8777
(828) 327-8771
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NC
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047EP
BCBS
NC
05
—
7795311
—
NC
01
—
809540
PARTNERS
NC
Enumeration date
08/16/2006
Last updated
04/08/2014
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