Mark King, is a
Licensed Practical Nurse based in Byram, Mississippi. Mark King is licensed to practice in Mississippi (license number P296731) and his current practice location is
205 Byram Pkwy, Byram, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(601) 362-5349.
NPI number for Mark King is 1679246342 and his current mailing address is 958 Bullrun Dr, Byram, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679246342.
Provider's Profile
| Full Name | Mark King |
|---|
| Gender | Male |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 205 Byram Pkwy, Byram, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679246342
- Provider Enumeration Date: 07/29/2021
- Last Update Date: 07/29/2021
Medical Identifiers
Medical identifiers for Mark King such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679246342 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | P296731 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark King is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mark King,
958 Bullrun Dr,
Byram, MS 39272-4445
Ph: (769) 972-1843 | Mark King,
205 Byram Pkwy,
Byram, MS 39272-9609
Ph: (601) 362-5349 |
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