Healthcare Provider Details

I. General information

NPI: 1629395124
Provider Name (Legal Business Name): JULIE LANE KING D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIE LANE FREEMAN DO

II. Dates (important events)

Enumeration Date: 04/23/2010
Last Update Date: 01/14/2026
Certification Date: 01/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1006 S. JACKSON
HUGOTON KS
67951-2858
US

IV. Provider business mailing address

1006 S. JACKSON
HUGOTON KS
67951-2858
US

V. Phone/Fax

Practice location:
  • Phone: 620-544-8563
  • Fax: 620-544-7362
Mailing address:
  • Phone: 620-544-8563
  • Fax: 620-544-7362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number05-36494
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number05-36494
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: