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Individual

JOSEPH GIBSON KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 ROSE ST, HX307A, LEXINGTON, KY 40536-0293
(859) 323-5069
Mailing address
800 ROSE ST, HX307A, LEXINGTON, KY 40536-0293
(859) 323-5069

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
22117
KY
2085R0202X
Diagnostic Radiology Physician
Primary
22117
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64221179
KY
Enumeration date
06/14/2006
Last updated
12/19/2012
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