Active NPI
Kathryn Jones King, MD
- Pediatrics Physician
- Elizabeth City, NC
National Provider Identifier
1528107455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 31310
- Practice address
- 615 S Hughes Blvd
Suite C
Elizabeth City, NC 27909-4785 - Phone
- (252) 562-6411
- Fax
- (252) 562-6645
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 31310 | NC | Primary |
Addresses
Primary practice location
615 S Hughes Blvd
Suite C
Elizabeth City, NC 27909-4785
Mailing address
615 S Hughes Blvd
Suite C
Elizabeth City, NC 27909-4785
Phone (252) 562-6411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8947144 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31310 | NC | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365724800000",
"number": "1528107455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 S HUGHES BLVD",
"address_2": "SUITE C",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279094785",
"telephone_number": "252-562-6411",
"fax_number": "252-562-6645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 S HUGHES BLVD",
"address_2": "SUITE C",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279094785",
"telephone_number": "252-562-6411",
"fax_number": "252-562-6645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "KATHRYN",
"middle_name": "JONES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2013-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "31310",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8947144",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elizabeth City, NC
- Jayesh J Kinariwala, MD
- Kindred Nursing Centers East, L.L.C.
- King Podiatry and Associates PLLC
- King Podiatry and Associates PLLC
- Debracca King, FNP-C
- Richard Christian King, D.P.M.
- Paul Andrew Kizen, MD
- David Wesley Kleinschuster, PSY. D, M.ED, M.A.
- Holly Demarest Kockler, RN, FNP-BC
- Jenna Nicole Kockott
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.