| Kenneth R King Md Ps | |
|
1621 114th Ave Se Ste 210 Bellevue WA 98004-6956 | |
| (425) 646-2960 | |
| Not Available |
| Full Name | Kenneth R King Md Ps |
|---|---|
| Speciality | Psychoanalyst |
| Location | 1621 114th Ave Se, Bellevue, Washington |
| Authorized Official Name and Position | Kenneth R King (PRESIDENT) |
| Authorized Official Contact | 4256462960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth R King Md Ps 1621 114th Ave Se Ste 210 Bellevue WA 98004-6956 Ph: (425) 646-2960 | Kenneth R King Md Ps 1621 114th Ave Se Ste 210 Bellevue WA 98004-6956 Ph: (425) 646-2960 |
| NPI Number | 1083965321 |
|---|---|
| Provider Enumeration Date | 09/26/2012 |
| Last Update Date | 09/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083965321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 102L00000X | Psychoanalyst | MD00016091 (Washington) | Primary |
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