Individual
PHILIP W KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1370 116TH AVE NE, SUITE 209, BELLEVUE, WA 98004-3825
(425) 453-8406
(425) 453-4173
Mailing address
1370 116TH AVE NE, SUITE 209, BELLEVUE, WA 98004-3825
(425) 453-8406
(425) 453-4173
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00039235
WA
207RN0300X
Nephrology Physician
Primary
MD00039235
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110238679
RR MEDICARE
WA
05
—
1116425
—
WA
Enumeration date
08/23/2005
Last updated
06/28/2019
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