Keith King, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

12299 Issued in AZ

Practice address

6210 W Earll Dr
Phoenix, AZ 85033-5843

Phone

(602) 488-6600

Fax

(602) 680-2627

NPI assigned

Jun 4, 2015

Last updated

Jun 4, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1861872756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14054",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850634054",
            "telephone_number": "602-488-6600",
            "fax_number": "602-680-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 W EARLL DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850335843",
            "telephone_number": "602-488-6600",
            "fax_number": "602-680-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "12299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph King, PT, DPT
• Joyce Anne King, R.N.
• Kaitlin King, DNP
• Katherine Anne King, CCC-SLP
• Kathryn Sarah King, MD
• Kevin King, M.D.
• Latanya King, MASTERS MAED
• Margaret L King, M.D.
• Marneisha Y King
• Melissa King

• General Practice Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.