Individual
DR. KYLE JOSEPH KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
815 FAIRWAY DR, BRANDENBURG, KY 40108-1415
(270) 422-4111
(270) 422-3629
Mailing address
815 FAIRWAY DR, BRANDENBURG, KY 40108-1415
(270) 422-4111
(270) 422-3629
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32025
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
KI6432025200
—
KY
Enumeration date
07/22/2005
Last updated
04/15/2009
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