Individual
DR. KODY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
110 NW 31ST ST FL 2, LAWTON, OK 73505-6100
(580) 357-3671
(580) 357-1256
Mailing address
PO BOX 785, LAWTON, OK 73502-0785
(580) 357-9984
(580) 357-3277
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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