King, Dawn K

King, Dawn K is an individual health care provider with primary practice located at 2855 E Magic View Dr , Meridian ID 83642-6245. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. King, Dawn K can be contacted via phone (208) 639-4900.

Contact Information

Primary practice address
2855 E Magic View Dr Meridian ID 83642-6245
Fax: (208) 639-4901
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X M-7718 Idaho

Profile Details

NPI number 1568413763
LBN Legal business name King, Dawn K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Feb 22nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568413763 NPPES
Idaho Other B5607 BLUE CROSS BOISE
Idaho Other P00275996 BLUE CROSS BOISE
Idaho Other 76710 BLUE CROSS BOISE
Idaho Other 000010005400 BLUE CROSS BOISE
Idaho Other 000010157301 BLUE CROSS BOISE
Idaho MEDICAID 805434500 BLUE CROSS BOISE

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