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NPI Code Detail

MEDICARE: ANDREW KING

MEDICARE:   ANDREW  KING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorCP6340NV

General Provider Information

NPI Number : 1093215220
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW KING
Provider Business Mailing Address
First Line : 732 S 6TH ST STE R
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-6948
Country : US
Telephone Number : 775-401-6800
Fax Number :
Provider Business Practice Location Address
First Line : 8215 S EASTERN AVE STE 109
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-2515
Country : US
Telephone Number : 775-600-6994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2018
Last Update Date : 06/18/2026

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Directions to “ ANDREW KING ” Practice Location

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