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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEMETRIUS KING

Active Organization

DEMETRIUS KING is a Exclusive Provider Organization organization located in BOWLING GREEN, Kentucky. NPI 1336686062 is currently active in the NPPES registry. Verify at CMS.

Exclusive Provider Organization · BOWLING GREEN, KY

Registration Details

NPI Number
1336686062
Provider Type
Organization
NPI Issued
Jan 19, 2017 (9.542302633462 yrs)
Last Updated
Mar 2, 2017
Licenses
171431 (KY)
171431 (KY)

Practice Information

Address
1990 LOUISVILLE RD STE 101
BOWLING GREEN, KY, 421011202
Browse KY providers · Browse ZIP 42101
Phone
2703034669
Primary Specialty
Exclusive Provider Organization
302F00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.