Individual
JEFFREY L KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 29TH AVE N, STE 202, NASHVILLE, TN 37203-1401
(615) 327-4304
(615) 327-7940
Mailing address
110 29TH AVE N, STE 202, NASHVILLE, TN 37203-1401
(615) 327-4304
(615) 327-7940
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
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