King, Stanley Thomas

King, Stanley Thomas is an individual health care provider with primary practice located at 205 Hospital Dr Ste A, Mc Kenzie TN 38201-1649. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. King, Stanley Thomas can be contacted via phone (731) 352-7907.

Contact Information

Primary practice address
205 Hospital Dr Ste A Mc Kenzie TN 38201-1649
Phone: (731) 352-7907
Fax: (731) 352-4459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA88 Tennessee

Profile Details

NPI number 1154324945
LBN Legal business name King, Stanley Thomas
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Apr 26th, 2013 - about 11 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 1154324945 NPPES
Tennessee MEDICAID 1510135
Tennessee Other PA88

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