Individual
MR. KEVIN BARRY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8957 EDMONSTON RD, SUITE E & G, GREENBELT, MD 20770-1005
(301) 474-7712
(301) 220-0080
Mailing address
15330 MANOR VILLAGE LN, ROCKVILLE, MD 20853-1833
(301) 929-3217
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618000593
VA
152W00000X
Optometrist
0P565
DC
152W00000X
Optometrist
Primary
TA0955
MD
Other
Enumeration date
05/19/2006
Last updated
08/25/2011
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