Otolaryngology, Plastic Surgery within the Head & Neck
KING CITY PHYSICIAN COMPANY, LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1134470859 · enumerated 2012-09-20 · record updated 2023-07-07. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: LAURA FEY, Sr. Director Physician Rev Cycle · (615) 221-3641
Addresses and phones
- Practice location 4117 S WATER TOWER PL, SUITE C, MOUNT VERNON, IL, 62864-6567 (618) 242-0672 Fax (618) 242-0862 Google Maps Apple Maps OpenStreetMap
- Mailing address 4117 S WATER TOWER PL, SUITE C, MOUNT VERNON, IL, 62864-6567 (618) 242-0672 Fax (618) 242-0862 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X
- Internal Medicine 207R00000X
- Internal Medicine, Cardiovascular Disease 207RC0000X
- Internal Medicine, Pulmonary Disease 207RP1001X
- Pediatrics, Adolescent Medicine 2080A0000X
- Surgery 208600000X
- Urology 208800000X
- Physician Assistant 363A00000X
- Nurse Practitioner, Family 363LF0000X
- Otolaryngology, Plastic Surgery within the Head & Neck 207YX0007X · Primary
In this directory
IL Jefferson County Mount Vernon Otolaryngology, Plastic Surgery within the Head & Neck
Locations and evidence
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Practice location
MOUNT VERNON, IL, 628646567
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.