Individual
DR. KODY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2919
TN
208D00000X
General Practice Physician
5101018980
MI
390200000X
Student in an Organized Health Care Education/Training Program
5096
OK
Other
Enumeration date
07/12/2010
Last updated
02/02/2018
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