Individual provider · Type 1 NPI

Kenneth Leroy King Sr.

Student in an Organized Health Care Education/Training Program · New Brighton, MN

NPI number 1568086346 Active

Practice location

1900 Silver Lake Rd NW
New Brighton, MN 55112-1786

Call (651) 628-9566 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1568086346

Kenneth Leroy King Sr.'s National Provider Identifier is 1568086346, issued on Jun 8, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Brighton, MN. The record was last updated on Jun 8, 2020.