KING CITY PHYSICIAN COMPANY, LLC

MOUNT VERNON, IL
NPI1134470859
Entity TypeOrganization
Authorized ContactLAURA J FEY
Sr. Director Physician Rev Cycle
615-221-3641
Organization Subpart ?No
Primary Taxonomy207YX0007X Otolaryngology Plastic Surgery within the Head & Neck
Additional Taxonomies207Q00000X Family Medicine
207R00000X Internal Medicine
207RC0000X Internal Medicine Cardiovascular Disease
207RP1001X Internal Medicine Pulmonary Disease
2080A0000X Pediatrics Adolescent Medicine
208600000X Surgery
208800000X Urology
363A00000X Physician Assistant
363LF0000X Nurse Practitioner Family
Enumeration Date2012-09-20
Last Update Date2023-07-07
Business Address
KING CITY PHYSICIAN COMPANY, LLC
4117 S WATER TOWER PL SUITE C
MOUNT VERNON, IL 62864-6567
Phone number: 618-242-0672
Mailing Address
KING CITY PHYSICIAN COMPANY, LLC
4117 S WATER TOWER PL SUITE C
MOUNT VERNON, IL 62864-6567
Phone number: 618-242-0672