Individual
DR. ALAN J KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
359
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60164
—
ND
01
—
KIN22921
BCBS
ND
01
—
KIN870359
NORTH DAKOTA VISION
ND
01
—
P00080525
RAILROAD MEDICARE
ND
Enumeration date
01/30/2006
Last updated
01/19/2016
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