Individual
KEVIN LEE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, CSCS
Contact information
Practice address
3545 S NATIONAL AVE, SPRINGFIELD, MO 65807-7310
(417) 269-9023
(417) 269-5508
Mailing address
3545 S NATIONAL AVE, SPRINGFIELD, MO 65807-7310
(417) 269-9023
(417) 269-5508
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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