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Individual

DR. KENNETH R KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
15600 REDMOND WAY STE 201, REDMOND, WA 98052-3862
(425) 646-2960
(425) 868-2147
Mailing address
15600 REDMOND WAY STE 201, REDMOND, WA 98052-3862
(425) 646-2960
(424) 868-2147

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD00016091
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1287804
WA
Enumeration date
03/06/2007
Last updated
11/03/2020
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