Active NPIIndividual provider

Kelly King, MD

Family Medicine in Harwich Port, Massachusetts

NPI Number1063049062
Practice location
710 Route 28, Harwich Port, MA 02646-1931
Fax
508-487-6298
Last updated
July 16, 2026

Kelly King is a Family Medicine based in Harwich Port, MA. Kelly King practices in Harwich Port, MA and has the professional credentials of MD. The NPI Number for Kelly King is 1063049062 and holds a License No. 1014889 (MA). The current practice location address for Kelly King is 710 Route 28, Harwich Port, MA 02646-1931 and can be reached out via phone at 508-432-1400 and via fax at 508-487-6298.

Provider Profile Details

NPI Number
1063049062
Provider Name
Kelly King
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
710 Route 28, Harwich Port, MA 02646-1931
Phone Number
508-432-1400
Fax Number
508-487-6298
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
March 27, 2020
Last Update Date
July 16, 2026
Certification Date
July 16, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
710 Route 28
Harwich Port, MA 02646-1931
Zip
02646-1931
Phone Number
508-432-1400
Fax Number
508-487-6298
Harwich Port, MA 02646Get directions →

Provider Business Mailing Address Details

Address
Po Box 2796
Orleans, MA 02653-6796
City
Orleans
State
MA
Zip
02653-6796
Phone Number
508-432-1400
Fax Number
508-487-6298

License Information

License Number
1014889
License State
MA
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelly King, MD?

The NPI number of Kelly King, MD is 1063049062. It was assigned on March 27, 2020 and is currently active in the NPPES registry.

What is the specialty of Kelly King, MD?

Kelly King, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 1014889.

Where does Kelly King, MD practice?

The practice location is 710 Route 28, Harwich Port, MA 02646-1931. The office can be reached at 508-432-1400 (phone) or 508-487-6298 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063049062 directly on the NPPES registry website.

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