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Organization

RICHARD M KING MD INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISTY A BARKER (CREDENTIALING)
(440) 617-1823
Entity
Organization

Contact information

Practice address
3985 WARRENSVILLE CENTER RD, WARRENSVILLE HEIGHTS, OH 44122-6764
(216) 283-4494
(216) 283-2351
Mailing address
26908 DETROIT RD, SUITE 301, WESTLAKE, OH 44145-2398
(440) 617-1823
(440) 617-0884

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207RG0300X
Geriatric Medicine (Internal Medicine) Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0402586
OH
01
DA6823
RR MEDICARE
OH
Enumeration date
02/20/2008
Last updated
03/18/2009
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