Individual
DR. KEVIN M KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
DEPARTMENT OF PSYCHOLOGY, BOX 351525, SEATTLE, WA 98195-0001
(206) 455-0481
Mailing address
313 MARTIN LUTHER KING JR WAY, SEATTLE, WA 98122-6132
(206) 455-0481
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
PY60167546
WA
103TC2200X
Clinical Child & Adolescent Psychologist
PY60167546
WA
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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