JACK KING - NPI 1649811902 - Speech-Language Pathologist in Duluth, MN

Q: What is Jack King's NPI number?

The NPI number for Jack King is 1649811902. It was assigned to this individual provider in the NPPES registry on October 7, 2019.

Q: What is Jack King's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack King was last updated on October 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Jack King NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK KING (NPI 1649811902) is an individual speech-language pathologist provider in Duluth, Minnesota, licensed in Minnesota (7926) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1649811902

Entity TypeIndividualMale

Primary Taxonomy235Z00000X

Provider Legal NameJACK KING

Location Address2501 RICE LAKE RDDuluth, MN 55811-4819

Mailing Address810 1st StProctor, MN 55810-2705 · (218) 341-5513

Phone(218) 625-6400

Sole ProprietorYes

Enumeration DateOctober 7, 2019

✔ NPI 1649811902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in MN · 7926

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

2501 RICE LAKE RD, Duluth, MN 55811

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY WEBER

Speech-Language Pathologist