Individual
JEFFREY L KING
Active
Individual
JEFFREY L KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
019223
TN
207L00000X
Anesthesiology Physician
Primary
19223
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009994495
—
AL
05
—
01912101
—
NY
01
—
3029951
BCBS PROVIDER NUMBER
TN
05
—
3044719
—
TN
05
—
64911415
—
KY
Enumeration date
06/30/2005
Last updated
03/23/2016
Update your record
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