King, Mark D.

King, Mark D. is an individual health care provider with primary practice located at 455 S Kirkwood Rd , Kirkwood MO 63122-6119. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. King, Mark D. can be contacted via phone (636) 256-8644.

Contact Information

Primary practice address
455 S Kirkwood Rd Kirkwood MO 63122-6119
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R1P80 Missouri

Profile Details

NPI number 1306866496
LBN Legal business name King, Mark D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Feb 9th, 2010 - about 14 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 1306866496 NPPES
Missouri Other P00348648 RR MEDICARE

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