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NPI Code Detail

MEDICARE: MS. DORINDA AMUN KING-ADEKUNLE D.P.M

MEDICARE: MS. DORINDA AMUN KING-ADEKUNLE D.P.M
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
1213E00000XPodiatristN006239-1NY

Other Identifiers

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

General Provider Information

NPI Number : 1598996043
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DORINDA AMUN KING-ADEKUNLE D.P.M
Provider Business Mailing Address
First Line : 9 HARRISON STREET
Second Line :
City : MOUNT VERNON
State : NY
Zip : 10550-3611
Country : US
Telephone Number : 914-563-2766
Fax Number : 914-667-0797
Provider Business Practice Location Address
First Line : 508 MEETING ST
Second Line :
City : WEST COLUMBIA
State : SC
Zip : 29169-7535
Country : US
Telephone Number : 727-796-6900
Fax Number : 727-669-8417
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2009
Last Update Date : 04/11/2025

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