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NPI Code Detail

MEDICARE: JAMES K KING

MEDICARE: JAMES K KING
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
1367500000XCertified Registered Nurse Anesthetist1095999TX
2367500000XCertified Registered Nurse Anesthetist10027429OR
3367500000XCertified Registered Nurse Anesthetist324800AZ
4367500000XCertified Registered Nurse Anesthetist227281LA

General Provider Information

NPI Number : 1811622392
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES K KING
Provider Business Mailing Address
First Line : 200 S OLD LITCHFIELD RD APT 13
Second Line :
City : LITCHFIELD PARK
State : AZ
Zip : 85340-4704
Country : US
Telephone Number : 903-343-9710
Fax Number :
Provider Business Practice Location Address
First Line : 2601 E ROOSEVELT ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-4973
Country : US
Telephone Number : 602-344-5011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2022
Last Update Date : 12/18/2025

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Directions to “ JAMES K KING ” Practice Location

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