Individual
SETH LANDON KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
165 NATCHEZ TRACE AVE, BOWLING GREEN, KY 42103-7940
(270) 782-7800
(270) 843-0779
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 782-7800
(270) 843-0779
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1760
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100217580
—
KY
Enumeration date
08/09/2012
Last updated
08/09/2016
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