Individual
DR. DAVID HOMER KINGSBURY
Active
Individual
DR. DAVID HOMER KINGSBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01021190A
IN
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
01021190A
IN
207NP0225X
Pediatric Dermatology Physician
01021190A
IN
207NS0135X
Procedural Dermatology Physician
01021190A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000079811
ANTHEM PIN
IN
01
—
01021190A
PHYSICIAN LICENSE
IN
01
—
01375974
TRAVELERS
IN
01
—
2035684001
CIGNA
IN
01
—
4252234
AETNA PIN
IN
Enumeration date
01/25/2007
Last updated
05/30/2008
Update your record
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