King, Russell F.

King, Russell F. is an individual health care provider with primary practice located at 1120 Kanawha Blvd E , Charleston WV 25301-2400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. King, Russell F. can be contacted via phone (304) 344-3457.

Contact Information

Primary practice address
1120 Kanawha Blvd E Charleston WV 25301-2400
Phone: (304) 344-3457
Fax: (304) 344-3480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 17556 West Virginia

Profile Details

NPI number 1982608501
LBN Legal business name King, Russell F.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Feb 26th, 2008 - about 16 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 1982608501 NPPES
West Virginia Other H53268 BRICKSTREET INSURANCE
West Virginia MEDICAID 2481078 BRICKSTREET INSURANCE
West Virginia MEDICAID 64080286 BRICKSTREET INSURANCE
West Virginia Other 0130753 BRICKSTREET INSURANCE
West Virginia Other 14193 BRICKSTREET INSURANCE
West Virginia MEDICAID 3810000058 BRICKSTREET INSURANCE
West Virginia MEDICAID 14175 BRICKSTREET INSURANCE

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