Kevin Robert King LCSW-R

NPI 1134208812 - Social Worker - 1041C0700X

NPI Details
NPI 1134208812
Gender Male
Enumeration Date 11/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
520 CEDAR ST
OCDMH DAY TREATMENT PROGRAM FOR CHILDREN
SYRACUSE NY, 13210-2302, US
Phone (315) 435-7703
Fax (315) 435-7715
Business Location
7486 RIVER RD
BALDWINSVILLE NY, 13027-9450, US
Phone (315) 435-7703
Fax (315) 435-7715
Toxanomy
Taxonomy Code 1041C0700X
License State New York
License Number R038655-1
Remove 1134208812 NPI Number
 

According to our database, Mr. Kevin Robert King LCSW-R NPI is 1134208812, taxonomy code is 1041C0700X and license number is R038655-1, license state is located at New York. Kevin Robert King LCSW-R physically located at 520 Cedar St, Syracuse NY, 13210-2302. NPI Number Kevin Robert King LCSW-R has the Individual type.

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1134208812 NPI number is provided on an as is basis without warranty of any kind. 1134208812 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Robert King LCSW-R are for informational purposes only.