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:
Health care specialties
Specialty | Code | License # | 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 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386636538 | NPPES |
Illinois | MEDICAID | 036083777 |
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