Individual
DR. KEITH MICHAEL KING
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
35 E MAIN ST, LURAY, VA 22835-1902
(574) 074-3333
(540) 743-1425
Mailing address
123 HIGHLAND CT, LURAY, VA 22835-1012
(540) 219-5840
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
0104556076
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116154
ANTHEM BC BS
VA
Enumeration date
06/05/2006
Last updated
07/08/2007
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