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Dr. Kenneth William King JR., OD
Corneal and Contact Management Optometrist in Idaho Falls, Idaho
NPI 1174524722

Kenneth William King JR. is a Corneal and Contact Management Optometrist based in Idaho Falls, ID and is specialized in Corneal and Contact Management. Kenneth William King JR. practices in Idaho Falls, ID and has the professional credentials of OD. The NPI Number for Kenneth William King JR. is 1174524722 and holds a License No. ODP0467 (Idaho).

The current practice location address for Kenneth William King JR. is 1480 E Lincoln Rd, Idaho Falls, ID and can be reached out via phone at 208-525-8686 and via fax at 208-525-8684. You can also correspond with Kenneth William King JR. through the mailing address at 1480 E LINCOLN RD, IDAHO FALLS, ID - 83401-2128 (mailing address contact number: 208-525-8686).

Location: 1480 E Lincoln Rd, Idaho Falls, ID, 83401-2128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174524722
Provider Name
Kenneth William King JR.
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
1480 E Lincoln Rd, Idaho Falls, ID, 83401-2128
Phone Number
208-525-8686
Fax Number
208-525-8684
Provider Enumeration Date
08/04/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
I-902428 01 CHAMPUS
0605250001 01 DMERC
82052 01 ID BLUE SHIELD
002543100 05 ID
institution
Provider Business Practice Location Address Details
Address
1480 E Lincoln Rd
City
Idaho Falls
State
Idaho
Zip
83401-2128
Phone Number
208-525-8686
Fax Number
208-525-8684
person
Provider Business Mailing Address Details
Address
1480 E Lincoln Rd
City
Idaho Falls
State
Idaho
Zip
83401-2128
Phone Number
208-525-8686
Fax Number
208-525-8684
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Optometrist
Speciality
Corneal and Contact Management
Taxonomy
152WC0802X
License No.
ODP0467 (Idaho)
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
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