Stephen E King
Individual provider Active NPI Case Manager/Care Coordinator · Appomattox, VA
NPI 1154636009 · NPPES record last updated Aug 16, 2010
Key facts
- NPI
- 1154636009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 11866 Richmond Hwy
Appomattox, VA 24522-7995 - Phone
- (434) 352-9877
- Fax
- (434) 352-4321
- NPI assigned
- Aug 16, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
11866 Richmond Hwy
Appomattox, VA 24522-7995
Mailing address
PO Box 99
Appomattox, VA 24522-0099
Phone (434) 352-9877
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0102911010 | Medicaid | VA | |
| 0102911432 | Medicaid | VA |
Other providers in Appomattox, VA
- John A Hoffman
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- Joetricia Humbles
- Brittany Leanne James
- Kanawha Medical Supply, Inc.
- Claire Lynnette Kirkbride
- Kroger Limited Partnership I
- Larry F Smith MD PC
- Lifeline Community Services LLC
- Samantha Paige Lovins
All providers in Appomattox, VA · Case Manager/Care Coordinator in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.