Kevin Bernard King, KEVIN KING

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0964 Issued in NC

Practice address

800 S Mint St
Charlotte, NC 28202-1518

Phone

(860) 416-2529

NPI assigned

Dec 15, 2006

Last updated

Feb 13, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Kevin Bernard King Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1275695280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S MINT ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282021518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S MINT ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282021518",
            "telephone_number": "860-416-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KEVIN",
        "middle_name": "BERNARD",
        "name_prefix": "Mr.",
        "credential": "KEVIN KING",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "0964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "KING",
            "middle_name": "BERNARD",
            "prefix": "MR.",
            "credential": "KEVIN KING,ATC,CSCS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Karen King, LCAS
• Katana King
• Kendra M King
• Kenzie Ree King
• Kevin King, LCMHC
• Kievonne Denise King, LCSW
• Kimberly King, MD
• Lacey King, M.D.
• Lindsey King
• Mack Herron King III, DC

• Athletic Trainer in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.