DR. KENNETH RAYMOND KING M.D.
Allergy and Immunology
Hampton, Virginia
Provider NPI: 1942206651
Provider Information:DR. KENNETH RAYMOND KING M.D.
Practice Location:
2101 EXECUTIVE DR TOWER BOX 56 HAMPTON, VA 23666 US
Tel: 757-827-6298 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207K00000X | Physicians Allergy & Immunology | VA | 19887 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| GROUP NPI# | 1326022880 | VA | 01 |
| RAILROAD MEDICARE GROUP # | CN5602 | 01 | |
| ANTHEM | 214292 | VA | 01 |
| INDIVIDUAL NPI# | 1942206651 | VA | 01 |
| OPTIMA | 51401 | VA | 01 |
| ANTHEM | 042740 | VA | 01 |
| MEDICARE GROUP # | C00003 | VA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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