Individual
DR. ROBERT ALLEN KING II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1312 E LARK ST, SPRINGFIELD, MO 65804-7351
(417) 820-3707
(417) 820-7954
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2004033841
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992729016
—
MO
01
—
431560263
TRICARE
MO
05
—
499272706
—
MO
01
—
P01037218
RR MCR
MO
Enumeration date
07/26/2006
Last updated
07/03/2012
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