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Contact Information

JOHN KING, PHD
10110 SPAIN RD NE
ALBUQUERQUE, NM87111-1965
 Phone: 505-404-9395
 Fax: 505-299-4740
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
Indicates primary specialty

NPI Profile & details for JOHN KING · (Male)

NPI # 1811977325
Status Active
Credentials PHD
Entity Individual
Enumeration date 01/19/2006
Last updated 05/27/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 71006364
  • NM License # 0969
  • NM License # PSY-RXC0074
  • IL Medicaid 71006364
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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