MEDICARE: MOLLY KING DC PSC

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	111N00000X	Chiropractor

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

General Provider Information

NPI Number	:	1427271303
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOLLY KING DC PSC

Provider Business Mailing Address
First Line	:	1510 DIXIE HIGHWAY
Second Line	:
City	:	PARK HILLS
State	:	KY
Zip	:	41011-2888
Country	:	US
Telephone Number	:	859-261-4858
Fax Number	:	859-261-2881

Provider Business Practice Location Address
First Line	:	1510 DIXIE HIGHWAY
Second Line	:
City	:	PARK HILLS
State	:	KY
Zip	:	41011-2888
Country	:	US
Telephone Number	:	859-261-4858
Fax Number	:	859-261-2881

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	MOLLY J KING
Credential	:	DC
Telephone Number	:	859-261-4858

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	08/22/2020

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