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Contact Information

GLEN KING
BLDG H. 2005 KNIGHT LANE
NAVY MEDICINE SUPPORT COMMAND
JACKSONVILLE, FL32212-0140
 Phone: 843-228-7068
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Independent Duty Corpsman

1710I1002X
Indicates primary specialty

NPI Profile & details for GLEN KING · (Male)

NPI # 1902114960
Status Active
Credentials
Entity Individual
Enumeration date 09/23/2010
Last updated 09/23/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers Not Available
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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