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1194727016

NPI Code Detail

MEDICARE: SCOTT K KING MD

MEDICARE: SCOTT K 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	207P00000X	Emergency Medicine Physician	23307	SC
2	207P00000X	Emergency Medicine Physician	25491	WV
3	207P00000X	Emergency Medicine Physician	0101243783	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194727016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT K KING MD

Provider Business Mailing Address
First Line	:	220 CAMPUS BLVD STE 100
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22601-2896
Country	:	US
Telephone Number	:	540-536-5100
Fax Number	:

Provider Business Practice Location Address
First Line	:	1840 AMHERST ST
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22601-2808
Country	:	US
Telephone Number	:	540-536-8708
Fax Number	:

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

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	02/28/2021

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Directions to “ SCOTT K 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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