King, Kevin M

King, Kevin M is an individual health care provider with primary practice located at 1000 Randall Rd Ste 100 , Geneva IL 60134-2591. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. King, Kevin M can be contacted via phone (630) 232-1282.

Contact Information

Primary practice address
1000 Randall Rd Ste 100 Geneva IL 60134-2591
Phone: (630) 232-1282
Fax: (630) 232-7011
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036-083777 Illinois

Profile Details

NPI number 1386636538
LBN Legal business name King, Kevin M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Jan 3rd, 2020 - about 5 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 1386636538 NPPES
Illinois MEDICAID 036083777

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