| Doctor Name: | MR. MICHAEL DON KING |
| NPI Number: | 1699099911 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NURSE PRACTITIONER |
| License Number: | R654388 |
| Business Practice Address: | 188 W Oxford St Pontotoc, MS - 388632006 |
| Business Phone Number: | 6629830139 |
| Business Fax Number: | 6627963190 |
| Mailing Address: | Po Box 1035, PONTOTOC |
| State: | MS |
| Postal Code: | 388631035 |
| Phone Number: | 6629830139 |
| Fax Number: | 6627963190 |
| NPI Enumeration Date: | 03/15/2010 |
| NPI Last Update Date: | 04/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | R654388 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |