| NPI | 1275695280 |
|---|---|
| Professional Name | KEVIN BERNARD KING |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC 0964) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2015-02-13 |