MEDICARE: DR. KENNETH BRIAN KING OD

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	152W00000X	Optometrist	04669T	TX

General Provider Information

NPI Number	:	1750469680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENNETH BRIAN KING OD

Provider Business Mailing Address
First Line	:	9429 N BEACH ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-9059
Country	:	US
Telephone Number	:	817-442-2020
Fax Number	:	682-499-3856

Provider Business Practice Location Address
First Line	:	9429 N BEACH ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-9059
Country	:	US
Telephone Number	:	817-442-2020
Fax Number	:	682-499-3856

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	12/19/2023

Similar Medicare Providers

1356334502 — DR. DAVID EDWARD PARMER D.D.S., M.D.
Practice Location Address:

9415 N BEACH ST
FORT WORTH, TX
76244-9059

Practice Phone: 817-741-2200
Practice Fax: 817-741-2216

1639127715 — DR. MICHAEL GRONBERG M.D.
Practice Location Address:

9445 N BEACH ST
FORT WORTH, TX
76244-9059

Practice Phone: 817-741-5437
Practice Fax: 888-400-5412

1326155854 — DR. JAMES RALPH MACHOLL DDS, M.D.
Practice Location Address:

9415 N BEACH ST
FORT WORTH, TX
76244-9059

Practice Phone: 817-741-2200
Practice Fax: 817-741-2216

1033266549 — DR. TIMOTHY A. LEW DDS
Practice Location Address:

9415 N BEACH ST
FORT WORTH, TX
76244-9059

Practice Phone: 817-741-2200
Practice Fax: 817-741-2216

1881870970 — ALLIANCE ORAL & MAXILLOFACIAL SURGERY, P.A.
Practice Location Address:

9415 N BEACH ST
FORT WORTH, TX
76244-9059

Practice Phone: 817-741-2200
Practice Fax: 817-741-2216

1023336633 — DR. TAYLOR BOYD STRANGE D.O.
Practice Location Address:

9429 N BEACH ST
FORT WORTH, TX
76244-9059

Practice Phone: 817-442-2020
Practice Fax: 682-499-3856

Directions to “ DR. KENNETH BRIAN KING OD” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.