MEDICARE: SALLY KING CONSULTING LLC

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1225987613
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SALLY KING CONSULTING LLC

Provider Business Mailing Address
First Line	:	PO BOX 45052
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64171-8052
Country	:	US
Telephone Number	:	816-226-8211
Fax Number	:

Provider Business Practice Location Address
First Line	:	7423 SUMMIT ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-1523
Country	:	US
Telephone Number	:	816-226-8211
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SALLY KING
Credential	:	LSCSW
Telephone Number	:	816-226-8211

Provider Enumeration Date	:	01/27/2026
Last Update Date	:	01/27/2026

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