Individual
DR. TIMOTHY EARL KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11456 BROADWAY, CROWN POINT, IN 46307-7106
(219) 488-0154
(219) 661-1408
Mailing address
425 JOLIET ST, SUITE 400, DYER, IN 46311-1765
(219) 488-0165
(219) 865-5401
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
01025676A
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
036097585
IL
208VP0014X
Interventional Pain Medicine Physician
Primary
01025676A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100113830B
—
IN
Enumeration date
06/23/2006
Last updated
11/11/2015
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