| John K. King, Llc | |
|
1290 Main St Ste C Daphne AL 36526-8624 | |
| (251) 551-3170 | |
| Not Available |
| Full Name | John K. King, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1290 Main St Ste C, Daphne, Alabama |
| Authorized Official Name and Position | John King (OWNER) |
| Authorized Official Contact | 2625270352 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John K. King, Llc 1290 Main St Ste C Daphne AL 36526-8624 Ph: (251) 551-3170 | John K. King, Llc 1290 Main St Ste C Daphne AL 36526-8624 Ph: (251) 551-3170 |
| NPI Number | 1770392516 |
|---|---|
| Provider Enumeration Date | 01/06/2025 |
| Last Update Date | 01/06/2025 |
| Certification Date | 01/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770392516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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