NPI 1174524722

Kenneth William King, OD

Practitioner Corneal and Contact Management Optometrist Idaho Falls, ID

Practice location

Address: 1480 E Lincoln Rd, Idaho Falls, ID 83401-2128
Phone: (208) 525-8686
Fax: (208) 525-8684

Registered specialties

Corneal and Contact Management Optometrist Primary

Eye and Vision Services Providers Taxonomy 152WC0802X Licence ODP0467 (ID)

Other Optometrist providers in Idaho →

Registry record

NPI: 1174524722
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Aug 2005
Record last updated: 20 Dec 2013

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.