NPI 1134727043
Matthew Bronson King
Practice location
- Address
- 1315 Riverbend Dr APT 109, Kingsport, TN 37664-6004
- Phone
- (423) 620-5715
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1134727043
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Oct 2020
- Record last updated
- 13 Oct 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.