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Organization

RONALD M. KING, M.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RONALD M KING M. D. (PHYSICIAN)
(270) 685-1331
Entity
Organization

Contact information

Practice address
920 FREDERICA ST, SUITE 108, OWENSBORO, KY 42301-3050
(270) 685-1331
(270) 688-8460
Mailing address
920 FREDERICA ST, SUITE 108, OWENSBORO, KY 42301-3050
(270) 685-1331
(270) 688-8460

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
18228
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64182280
KY
Enumeration date
08/24/2006
Last updated
08/22/2020
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