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General NPI Number Information
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NPI Number | 1083938567
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Entity Type | Organization
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Legal Business Name | WESTERN KENTUCKY NEUROLOGY INC
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Dates
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Enumeration Date | 03/26/2010
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Last Update Date | 06/04/2010
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Provider Practice Location Address
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Address Line | 300 S 8TH ST SUITE 282 WEST
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City | MURRAY
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State | KY
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Zip | 42071-2400
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Country | US
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Telephone | 713-419-1592
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Fax |
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Provider Business Mailing Address
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Address Line | 2108 DARBY DAN DR
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City | MURRAY
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State | KY
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Zip | 42071-7119
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Country | US
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Telephone | 713-419-1592
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Fax |
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Authorized Official
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Title or Position | NEUROLOGIST
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Name | DR. CHRISTOPHER MICHAEL KING
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Credential | M.D.
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Telephone | 713-419-1592
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 42243
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License Number State | KY
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