Individual
DR. MALCOLM A KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.P.S.C.
Contact information
Practice address
613 23RD ST, SUITE 230, ASHLAND, KY 41101-2878
(606) 324-4745
(606) 324-4941
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 324-4745
(606) 324-4941
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
24195
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049114
ANTHEM/BLUE CROSS/BLUE SH
KY
05
—
0085561000
—
WV
05
—
0690542
—
OH
01
—
110028144
TRAVELERS MEDICARE
KY
01
—
611140483
COMMERCIAL
KY
05
—
64241953
—
KY
01
—
K011087
CHAMPUS
KY
Enumeration date
04/06/2006
Last updated
02/28/2014
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