Healthcare Provider Details

I. General information

NPI: 1598996043
Provider Name (Legal Business Name): DORINDA AMUN KING-ADEKUNLE D.P.M
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DORINDA AMUN KING D.P.M

II. Dates (important events)

Enumeration Date: 07/31/2009
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 PHYSICIAN DR
AIKEN SC
29801-6388
US

IV. Provider business mailing address

80 PHYSICIAN DR
AIKEN SC
29801-6388
US

V. Phone/Fax

Practice location:
  • Phone: 803-306-1006
  • Fax: 803-643-1809
Mailing address:
  • Phone: 803-306-1006
  • Fax: 803-643-1809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberN006239-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: