King, Malcolm A

King, Malcolm A is an individual health care provider with primary practice located at 613 23Rd St Suite 230, Ashland KY 41101-2878. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. King, Malcolm A can be contacted via phone (606) 324-4745.

Contact Information

Primary practice address
613 23Rd St Suite 230 Ashland KY 41101-2878
Fax: (606) 324-4941
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 24195 Kentucky

Profile Details

NPI number 1770545469
LBN Legal business name King, Malcolm A
Credentials M.D.P.S.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Feb 28th, 2014 - about 10 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 1770545469 NPPES
West Virginia MEDICAID 0085561000
West Virginia Other 110028144
West Virginia MEDICAID 64241953
West Virginia Other 000000049114
West Virginia Other 611140483
West Virginia Other K011087
West Virginia MEDICAID 0690542

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