| Samuel J King Md | |
|
419 Town Mountain Rd Professional Associates Building, Suite #204 Pikeville KY 41501-1631 | |
| (606) 432-9400 | |
| (606) 432-9002 |
| Full Name | Samuel J King Md |
|---|---|
| Speciality | Family Medicine |
| Location | 419 Town Mountain Rd, Pikeville, Kentucky |
| Authorized Official Name and Position | Samuel Jerome King (OWNER OF CORPORATION) |
| Authorized Official Contact | 6064329400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel J King Md Po Box 1107 Pikeville KY 41502-1107 Ph: (606) 432-9400 | Samuel J King Md 419 Town Mountain Rd Professional Associates Building, Suite #204 Pikeville KY 41501-1631 Ph: (606) 432-9400 |
| NPI Number | 1700813094 |
|---|---|
| Provider Enumeration Date | 06/26/2006 |
| Last Update Date | 10/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700813094 | NPI | - | NPPES |
| 64227903 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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