Individual
MR. KEITH NMN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
2 BONNIE BLVD, HUNTINGTON, WV 25705-3066
(304) 208-0262
Mailing address
2 BONNIE BLVD, HUNTINGTON, WV 25705-3066
(304) 208-0262
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
939
WV
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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