Individual
PATRICK HOLT KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 W 3RD ST, YANKTON, SD 57078-4201
(605) 665-9638
(605) 665-0526
Mailing address
PO BOX 819, YANKTON, SD 57078-0819
(605) 665-9638
(605) 665-0526
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
1389
SD
207W00000X
Ophthalmology Physician
17531
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009384
SD WELLMARK BLUE SHIELD
SD
01
—
1389
DAKOTACARE PROVIDER ID
—
01
—
22052
NE BLUE SHIELD ID
NE
05
—
36-3050195-13
—
SD
05
—
36-3050195-14
—
NE
05
—
6300280
—
SD
01
—
NA1114003
MEDICARE PTAN NORFOLK, NE
NE
01
—
NA1115003
NE MEDICARE PTAN O'NEILL, NE
NE
Enumeration date
05/24/2005
Last updated
11/04/2008
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