1982081030 NPI number — MR. SEAN MARTIN KINGS MD

Table of content: MR. SEAN MARTIN KINGS MD (NPI 1982081030)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982081030 NPI number — MR. SEAN MARTIN KINGS MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KINGS
Provider First Name:
SEAN
Provider Middle Name:
MARTIN
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982081030
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/02/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
77 GOODELL ST, SUITE 240T
Provider Second Line Business Mailing Address:
DEPARTMENT OF FAMILY MEDICINE
Provider Business Mailing Address City Name:
BUFFALO
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14203
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
716-816-7258
Provider Business Mailing Address Fax Number:
716-845-6699

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
850 HOPKINS ROAD
Provider Second Line Business Practice Location Address:
UBMD FAMILY MEDICINE OF AMHERST
Provider Business Practice Location Address City Name:
WILLIAMSVILLE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14221
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-817-9807
Provider Business Practice Location Address Fax Number:
716-932-7465
Provider Enumeration Date:
04/28/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com