Individual
DR. KEVIN PATRICK KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
17280 W NORTH AVE, SUITE 202, BROOKFIELD, WI 53045-4366
(262) 780-9901
(262) 780-1088
Mailing address
17280 W NORTH AVE, SUITE 202, BROOKFIELD, WI 53045-4366
(262) 780-9901
(262) 780-1088
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2342
WI
Other
Enumeration date
06/03/2007
Last updated
07/08/2007
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