Individual
MR. KEVIN BERNARD KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
KEVIN KING
Contact information
Practice address
800 S MINT ST, CHARLOTTE, NC 28202-1518
(860) 416-2529
Mailing address
800 S MINT ST, CHARLOTTE, NC 28202-1518
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0964
NC
Other
Enumeration date
12/15/2006
Last updated
02/13/2015
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