Healthcare Provider Details

I. General information

NPI: 1760397079
Provider Name (Legal Business Name): MR. FRED C KING
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2817 HILLSDALE RD
BALTIMORE MD
21207-7463
US

IV. Provider business mailing address

2817 HILLSDALE RD
BALTIMORE MD
21207-7463
US

V. Phone/Fax

Practice location:
  • Phone: 443-831-0597
  • Fax: 410-448-1548
Mailing address:
  • Phone: 443-831-0597
  • Fax: 410-448-1548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: