Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH WILLIAM KING JR., O.D.
Active Sole ProprietorDR. KENNETH WILLIAM KING JR., O.D. is a Corneal & Contact Management Optometrist healthcare provider located in IDAHO FALLS, Idaho. NPI 1174524722 is currently active in the NPPES registry. Verify at CMS.
Corneal & Contact Management Optometrist · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1174524722
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 4, 2005 (21.059847429258 yrs)
- Last Updated
- Dec 20, 2013
- License
-
ODP0467 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1480 E LINCOLN RDIDAHO FALLS, ID, 834012128Browse ID providers · Browse ZIP 83401
- Phone
- 2085258686
- Fax
- 2085258684
- Primary Specialty
-
Corneal & Contact Management Optometrist
152WC0802X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.