| Kings Clinic And Urgent Care Pllc | |
|
407 W. King Street Suite 20 Kings Mountain NC 28086-3345 | |
| (704) 730-8461 | |
| Not Available |
| Full Name | Kings Clinic And Urgent Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 407 W. King Street, Kings Mountain, North Carolina |
| Authorized Official Name and Position | Temidayo Adesoji Adelekun (MEMBER) |
| Authorized Official Contact | 7047308461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kings Clinic And Urgent Care Pllc 407 W. King Street Suite 20 Kings Mountain NC 28086-3345 Ph: (704) 730-8461 | Kings Clinic And Urgent Care Pllc 407 W. King Street Suite 20 Kings Mountain NC 28086-3345 Ph: (704) 730-8461 |
| NPI Number | 1194875765 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 04/29/2013 |
| Medicare PECOS PAC ID | 1850484460 |
|---|---|
| Medicare Enrollment ID | O20070912000229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194875765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 200001048 (North Carolina) | Primary |
| Provider Name | Temidayo A Adelekun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962497537 PECOS PAC ID: 9436139094 Enrollment ID: I20040723000283 |
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