MEDICARE: STEVEN AUGUST KING DPM

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	213E00000X	Podiatrist	255	SD
2	213E00000X	Podiatrist	PO137	HI
3	213E00000X	Podiatrist	1134	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	99017685996793B057	OTHER	HI	TRICARE - CHAMPUS
2	51014	OTHER	HI	UHA
3	222158	OTHER	HI	HMSA - 65CP - HMSA QUEST

General Provider Information

NPI Number	:	1194747493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN AUGUST KING DPM

Provider Business Mailing Address
First Line	:	3200 CANYON LAKE DR
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57702-8114
Country	:	US
Telephone Number	:	605-355-2500
Fax Number	:	605-355-2517

Provider Business Practice Location Address
First Line	:	3200 CANYON LAKE DR
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57702-8114
Country	:	US
Telephone Number	:	605-355-2500
Fax Number	:	605-355-2517

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

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	06/09/2026

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Directions to “ STEVEN AUGUST KING DPM” Practice Location

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