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1316918964

NPI Code Detail

MEDICARE: DAVID L. KING MD

MEDICARE: DAVID L. KING MD

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
1	207Q00000X	Family Medicine Physician	E1430	AR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	P00416960	OTHER	AR	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9233469001	OTHER		CIGNA
2	07060048300	OTHER		QUALCHOICE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	5K581	OTHER	AR	BC/BS
5	2287962	OTHER		UNITED HEALTH CARE
6	5334029	OTHER		AETNA
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	2287962	OTHER	AR	UNITED HEALTH CARE

General Provider Information

NPI Number	:	1316918964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID L. KING MD

Provider Business Mailing Address
First Line	:	612 S 12TH ST
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72901-4702
Country	:	US
Telephone Number	:	479-785-2431
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 S E ST
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72901-4716
Country	:	US
Telephone Number	:	479-785-2431
Fax Number	:	479-494-7787

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	04/14/2017

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Directions to “ DAVID L. KING MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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