NPIMap

Organization Active NPI

Kenneth R King MD PS

  • Psychoanalyst
  • Bellevue, WA
National Provider Identifier
1083965321
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
MD00016091 Issued in WA
Legal business name
KENNETH R KING MD PS
Practice address
1621 114TH Ave SE
Ste 210
Bellevue, WA 98004-6956
Phone
(425) 646-2960
NPI assigned
Sep 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kenneth R King, MDNPI 1811027329
Title
President
Phone
(425) 646-2960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychoanalystGroup: 193400000X SINGLE SPECIALTY GROUP 102L00000X MD00016091 WA Primary

Addresses

Primary practice location

1621 114TH Ave SE
Ste 210
Bellevue, WA 98004-6956

Mailing address

1621 114TH Ave SE
Ste 210
Bellevue, WA 98004-6956
Phone (425) 646-2960

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1083965321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 114TH AVE SE",
            "address_2": "STE 210",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046956",
            "telephone_number": "425-646-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 114TH AVE SE",
            "address_2": "STE 210",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046956",
            "telephone_number": "425-646-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH R KING MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-646-2960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychoanalyst",
            "state": "WA",
            "license": "MD00016091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.