King, Larry

King, Larry is an individual health care provider with primary practice located at 304 Shake Rag Rd , Clinton AR 72031-6619. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. King, Larry can be contacted via phone (501) 745-6644.

Contact Information

Primary practice address
304 Shake Rag Rd Clinton AR 72031-6619
Phone: (501) 745-6644
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1043426174
LBN Legal business name King, Larry
Credentials CMP
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers