Jack King

Speech-Language Pathologist · Duluth, MN

Individual Active NPI

NPI number 1649811902

Practice location

2501 Rice Lake Rd
Duluth, MN 55811-4819
Phone
(218) 625-6400

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NPI record

NPI
1649811902
Entity type
Individual (Type 1)
Enumeration date
October 7, 2019
Last updated
October 7, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 7926 MN

Mailing address

810 1st St
Proctor, MN 55810-2705
Phone
(218) 341-5513

About Jack King

Jack King is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 2501 Rice Lake Rd, Duluth, MN 55811-4819. The NPI number 1649811902 was assigned on October 7, 2019 and the record was last updated on October 7, 2019.

Jack King lists a license in the registry: #7926 (MN) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jack King?

The NPI number is 1649811902.

What is the phone number of Jack King?

The phone number listed for the practice location is (218) 625-6400.

Where is Jack King located?

2501 Rice Lake Rd, Duluth, MN 55811-4819.

What is the taxonomy code for Jack King?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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