Individual
DR. TREVOR PAUL KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3430 W EDGEWOOD DR, JEFFERSON CITY, MO 65109-6961
(573) 635-0233
Mailing address
3430 W EDGEWOOD DR, JEFFERSON CITY, MO 65109-6961
(573) 635-0233
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2005032732
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200101509
—
MO
05
—
207176603
—
MO
01
—
P00374043
RAILROAD MEDICARE
—
01
—
P01135224
RAILROAD MEDICARE
MO
Enumeration date
06/16/2006
Last updated
02/20/2024
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