DEMETRIUS KING

Exclusive Provider Organization

Active Organization
NPI: 1336686062

Practice Address

1990 LOUISVILLE RD STE 101
Bowling Green, KY 42101

Phone: (270) 303-4669

Specialties

Specialty Code Primary License
Counselor - Professional 101YP2500X No 171431 (KY)
Exclusive Provider Organization 302F00000X Yes 171431 (KY)

Frequently Asked Questions

NPI 1336686062 is the National Provider Identifier for DEMETRIUS KING, a Exclusive Provider Organization provider located in Bowling Green, KY. This NPI was enumerated on January 19, 2017.

Quick Facts

NPI
1336686062
Type
Organization
Enumerated
Jan 19, 2017
Last Updated
Mar 2, 2017

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