MR. KEVIN KING (NPI# 1578035093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578035093 |
| Entity Type | Individual |
| Full Name | MR. KEVIN KING |
| Practice Address |
12145 Elm St Princess Anne MD 21853-1358 |
| Mailing Address |
Po Box 1978 Salisbury MD 21802-1978 |
| Practice Telephone | 4106512204 |
| Practice Fax Number | 4106510790 |
| Mailing Telephone | 4107491015 |
| Mailing Fax Number | 4107490654 |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2019-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 140897601 | 05 | |
| MD | 140897600 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1813 Sweetbay Dr, Salisbury, MD 218041663 | 4102195483 | 4102195486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760025977 | Kevin Allen King | Registered Nurse | 1301 Tates Creek Rd Apt Suite, Corpus Christi, TX 78418-5906 | 2019-10-21 |
| 1114384633 | Kevin King | Counselor | 117 S Lake St, East Jordan, MI 49727-9375 | 2016-01-28 |
| 1144577677 | Kevin Adrian King | Physical Therapist | 1010 Village Park Ln, Suite 102, Greensboro, GA 30642-5174 | 2012-08-15 |
| 1477888097 | Kevin King | Rehabilitation Counselor | 3322 Connors Dr., Perris, CA 92571-7619 | 2009-10-15 |
| 1609018480 | Kevin King | Marriage & Family Therapist | 5800 Hannum Ave # 105, Culver City, CA 90230 | 2009-03-25 |
| 1265698385 | Kevin Michael King | Dentist | 12201 S Harlem Ave, Palos Heights, IL 60463-1474 | 2008-07-29 |
| 1336315340 | Kevin Douglas King | Social Worker | 18 Scenic Hills Dr, Newnan, GA 30265-2796 | 2008-04-30 |
| 1659581171 | Kevin Jay King | Physical Therapy Assistant | 1525 Haven Dr, Oviedo, FL 32765-7566 | 2007-05-23 |
| 1174652283 | Kevin Scott King | Dentist | 1212 Horton St, La Crosse, WI 54601-6372 | 2007-03-05 |
| 1992855811 | Kevin Geoffrey King | Chiropractor | 135 East 13 St., Leadville, CO 80461 | 2007-01-11 |
| Street Address |
12145 ELM ST |
| City | PRINCESS ANNE |
| State | MD |
| Zip Code | 21853-1358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578566790 | Juan Carlos Zelaya | Physician Assistant | 12145 Elm St, Princess Anne, MD 21853-1358 | 2005-05-23 |
| 1942800834 | Colleen Amber Snitzer | Social Worker | 12145 Elm St, Princess Anne, MD 21853-1358 | 2020-10-29 |
| 1649888439 | Leena Samuel Saj | Nurse Practitioner | 12145 Elm St, Princess Anne, MD 21853-1358 | 2020-07-17 |
| 1447886205 | Madalyne Suzanne Adams | Counselor | 12145 Elm St, Princess Anne, MD 21853-1358 | 2020-03-12 |
| 1639722259 | Rachel Nicole Thomas | Social Worker | 12145 Elm St, Princess Anne, MD 21853-1358 | 2019-07-23 |
| 1265085021 | Robin Jinette Kristall | Counselor | 12145 Elm St, Princess Anne, MD 21853-1358 | 2019-07-22 |
| 1396306270 | James Alan Porter | Registered Nurse | 12145 Elm St, Princess Anne, MD 21853-1358 | 2019-06-22 |
| 1518520832 | Devon Adam Bryant Jr. | Counselor | 12145 Elm St, Princess Anne, MD 21853-1358 | 2019-04-22 |
| 1841763448 | Walter Holmes | Counselor | 12145 Elm St, Princess Anne, MD 21853-1358 | 2019-01-07 |
| 1144707100 | Julie Megan Garner | Counselor | 12145 Elm St, Princess Anne, MD 21853-1358 | 2018-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205478013 | Zachary Castell | Counselor | 30665 Student Services Center Lane, Princess Anne, MD 21853 | 2019-10-14 |
| 1659798759 | Brittany Leigh Heffernan | Dentist | 12165 Elm Street, Princess Anne, MD 21853 | 2014-03-26 |
| 1750670519 | Earl Gene Grantz | Pharmacist | 1251 Brittingham Lane, Rite Aid Pharmacy, Princess Anne, MD 21853 | 2011-04-01 |
| 1356554018 | Somerset County Health Department | Public Health or Welfare | 11674 Somerset Avenue, Princess Anne, MD 21853 | 2007-05-08 |
| 1801008479 | Cedric Rashaw | Counselor | 1 Umes Backbone Road, Princess Anne, MD 21853 | 2007-05-04 |
| 1053408641 | Nancy V Lorsong | Nurse Practitioner | Backbone Rd, Charles Drew Student Health Center, Princess Anne, MD 21853 | 2006-10-06 |
| 1154354744 | Three Lower Counties Community Services, Inc. | Clinic/Center | 12145 Elm Street, Princess Anne, MD 21853 | 2006-07-08 |
| 1750855797 | Rebecca Coryell | Physician Assistant | 12302 Somerset Ave, Suite A, B, Princess Anne, MD 21853 | 2019-01-13 |
| 1205331840 | Kristen Lea Hyland | Dentist | 12165 Elm St, Princess Anne, MD 21853 | 2018-03-26 |
| 1386145118 | Karishma Dilip Patel | Dentist | 12165 Elm St, Princess Anne, MD 21853 | 2018-02-27 |
| Find all providers in zip 21853 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205478013 | Zachary Castell | Counselor | 30665 Student Services Center Lane, Princess Anne, MD 21853 | 2019-10-14 |
| 1447886205 | Madalyne Suzanne Adams | Counselor | 12145 Elm St, Princess Anne, MD 21853-1358 | 2020-03-12 |
| 1164052403 | Edith Igere Jones | Counselor | 11120 Somerset Ave, Princess Anne, MD 21853-2970 | 2020-01-24 |
| 1265085021 | Robin Jinette Kristall | Counselor | 12145 Elm St, Princess Anne, MD 21853-1358 | 2019-07-22 |
| 1710541032 | Melissa A Rice | Counselor | 11120 Somerset Ave, Princess Anne, MD 21853-2970 | 2019-04-23 |
| 1518520832 | Devon Adam Bryant Jr. | Counselor | 12145 Elm St, Princess Anne, MD 21853-1358 | 2019-04-22 |
| 1841763448 | Walter Holmes | Counselor | 12145 Elm St, Princess Anne, MD 21853-1358 | 2019-01-07 |
| 1588180129 | Anthony J Wilson Sr. | Counselor | 11120 Somerset Ave, Princess Anne, MD 21853-2970 | 2017-08-15 |
| 1336510197 | Steve Giddens | Counselor | 11120 Somerset Ave, Princess Anne, MD 21853-2970 | 2015-10-19 |
| 1427457159 | Aleshia Patrice Polk | Counselor | 11120 Somerset Ave, Princess Anne, MD 21853-2970 | 2014-08-19 |
| Find all providers in PRINCESS ANNE | ||||
| City | PRINCESS ANNE |
| Zip Code | 21853 |
Please comment or provide details below to improve the information on MR. KEVIN KING.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.