Mark King

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

P296731 Issued in MS

Practice address

205 Byram Pkwy
Byram, MS 39272-9609

Phone

(601) 362-5349

NPI assigned

Jul 29, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1679246342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "958 BULLRUN DR",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392724445",
            "telephone_number": "769-972-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BYRAM PKWY",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392729609",
            "telephone_number": "601-362-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MS",
            "license": "P296731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franchesca A Jones, O.T.
• Laura Katherine Jones, DMD
• Quintin Todd Julius, D.D.S.
• Richard Luke Kimmel, DPT
• Sharita Trinette Kincaid, LCSW
• Yvonne Knox, PHARMD
• Frank Koe, MD
• Kroger Limited Partnership I
• Raven Suzanne Ladner, M.D.
• Latosha Laird, AGNP-C

• Licensed Practical Nurse in Byram, MS
• Providers in Byram, MS by specialty
• Licensed Practical Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.