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Individual

STEVEN AUGUST KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
717 S STATE ST STE 900, FAIRMONT, MN 56031-4469
(507) 238-4949
(507) 238-3365
Mailing address
2180 MAIN ST, WAILUKU, HI 96793-1666
(808) 242-6464
(808) 243-2345

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1134
MN
213E00000X
Podiatrist
PO137
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
222158
HMSA - 65CP - HMSA QUEST
HI
01
51014
UHA
HI
01
99017685996793B057
TRICARE - CHAMPUS
HI
Enumeration date
07/24/2006
Last updated
04/05/2023
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