Individual
KEVIN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 KILBURN ST, NEW BEDFORD, MA 02740-7321
(508) 979-1122
Mailing address
10 KILBURN ST, NEW BEDFORD, MA 02740-7321
(508) 979-1122
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
176859
MA
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
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