Individual
SIDNEY KWOK-YIN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
765 LIBERTY STREET, SUITE 202, MEADVILLE, PA 16335-2568
(814) 333-5888
(814) 333-5026
Mailing address
765 LIBERTY STREET, SUITE 202, MEADVILLE, PA 16335-2568
(814) 333-5888
(814) 333-5026
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD046547L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012987180003
—
PA
01
—
078431
BLUE SHIELD
—
01
—
205079
UPMC
—
Enumeration date
07/14/2006
Last updated
12/02/2011
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