Provider Demographics
NPI:1598522484
Name:KING EXPANSION
Entity Type:Organization
Organization Name:KING EXPANSION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:K
Authorized Official - Last Name:HECKER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:855-854-6684
Mailing Address - Street 1:12819 SE 38TH ST # 11
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-1326
Mailing Address - Country:US
Mailing Address - Phone:855-854-6684
Mailing Address - Fax:
Practice Address - Street 1:4564 SOMERSET BLVD SE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-2220
Practice Address - Country:US
Practice Address - Phone:855-854-6684
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No332S00000XSuppliersHearing Aid Equipment