Individual
MATTHEW S KING
Active
Individual
MATTHEW S KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40559
TN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
40559
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3001035
—
TN
01
—
4158897
BCBS
TN
01
—
7100033580
KENTUCKY MEDICAID
KY
01
—
9340126
AETNA
—
01
—
P00630872
RAILROAD MEDICARE
—
Enumeration date
10/28/2006
Last updated
03/26/2024
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