Individual
DR. KENT THOMAS KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 MELVILLE DR, PAULS VALLEY, OK 73075-6609
(405) 238-5555
(405) 238-6348
Mailing address
200 MELVILLE DR, PAULS VALLEY, OK 73075-6609
(405) 238-5555
(405) 238-6348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OK16153
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100102220A
—
OK
01
—
OK16153
OKLAHOMA STATE LICENSE
OK
Enumeration date
02/23/2006
Last updated
03/07/2023
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