| Doctor Name: | THOMAS KING |
| NPI Number: | 1497005268 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | 785345 |
| Business Practice Address: | 768 Mountain Ranch Rd San Andreas, CA - 95249 |
| Business Phone Number: | 2097542520 |
| Business Fax Number: | |
| Mailing Address: | 768 Mountain Ranch Rd, SAN ANDREAS |
| State: | CA |
| Postal Code: | 95249 |
| Phone Number: | 2097542520 |
| Fax Number: | |
| NPI Enumeration Date: | 09/19/2012 |
| NPI Last Update Date: | 03/13/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0200X |
| License Number: | 785345 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Critical Care Medicine |
| Taxonomy Definition: | |