Individual
KEVAN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
400 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086-5784
(904) 819-5155
(904) 819-4911
Mailing address
124 SAVANNA PRESERVE CT, ST AUGUSTINE, FL 32095-8927
(321) 543-5283
Taxonomy
Speciality
Code
Description
License number
State
1835E0208X
Emergency Medicine Pharmacist
Primary
PS64365
FL
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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