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GLEN KING
NPI 1902114960
Military Health Care Provider - Independent Duty Corpsman in Jacksonville, FL

Active since September 23, 2010
BLDG H. 2005 KNIGHT LANE, NAVY MEDICINE SUPPORT COMMAND, JACKSONVILLE, FL 32212(843) 228-7068 Get Directions Write a Review

NPPES record last updated: September 23, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glen King NPPES

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

GLEN KING (NPI 1902114960) is an individual independent duty corpsman provider in Jacksonville, Florida and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1902114960
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameGLEN KING
Location AddressBLDG H. 2005 KNIGHT LANE, NAVY MEDICINE SUPPORT COMMANDJacksonville, FL 32212-0140
Mailing Address31 Park CirBluffton, SC 29910-8011
Phone(843) 228-7068
Sole ProprietorNo
Enumeration DateSeptember 23, 2010
✔ NPI 1902114960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
BLDG H. 2005 KNIGHT LANE, Jacksonville, FL 32212
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Other Providers at the Same Location NPPES

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

MR. REX SPENCER WATSON M.D.
Student in an Organized Health Care Education/Training Program
BLDG H. 2005 KNIGHT LANE, NAVY MEDICINE SUPPORT COMMAND ATTN: MSSD
JACKSONVILLE, FL 32212
Duval County (757) 465-1949

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen King's NPI number?

The NPI number for Glen King is 1902114960. It was assigned to this individual provider in the NPPES registry on September 23, 2010.

Where is Glen King located?

Glen King practices at Bldg H. 2005 Knight Lane Navy Medicine Support Command, Jacksonville, FL 32212. The listed phone number is (843) 228-7068.

What is Glen King's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Glen King was last updated on September 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.