King, Kenneth B

King, Kenneth B is an individual health care provider with primary practice located at 500 George Mcclain Drive , Benton KY 42025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. King, Kenneth B can be contacted via phone (270) 527-8626.

Contact Information

Primary practice address
500 George Mcclain Drive Benton KY 42025
Phone: (270) 527-8626
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 17956 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 8778 Tennessee

Profile Details

NPI number 1568434843
LBN Legal business name King, Kenneth B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jul 8th, 2007 - about 18 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 1568434843 NPPES
Kentucky Other 000000198973 BLUE CROSS BLUE SHIELD
Kentucky Other 1500 BLUE CROSS BLUE SHIELD
Kentucky MEDICAID 64179567 BLUE CROSS BLUE SHIELD

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