Individual
DR. KEVIN MICHAEL KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-2078
(210) 702-6274
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-2078
(210) 702-6274
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K8926
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122158207
—
TX
01
—
8BZ175
BCBSTX
TX
Enumeration date
11/02/2005
Last updated
09/10/2025
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