Provider Demographics
NPI:1598996043
Name:KING-ADEKUNLE, DORINDA AMUN (DPM)
Entity Type:Individual
Prefix:MS
First Name:DORINDA
Middle Name:AMUN
Last Name:KING-ADEKUNLE
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:MS
Other - First Name:DORINDA
Other - Middle Name:AMUN
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPM
Mailing Address - Street 1:9 HARRISON STREET
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10550-3611
Mailing Address - Country:US
Mailing Address - Phone:914-563-2766
Mailing Address - Fax:914-667-0797
Practice Address - Street 1:508 MEETING ST
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-7535
Practice Address - Country:US
Practice Address - Phone:727-796-6900
Practice Address - Fax:727-669-8417
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-31
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006239-1213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist