King City Physician Company, LLC
NPI 1134470859 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Mount Vernon, IL
King City Physician Company, LLC is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician organization in Mount Vernon, IL (NPI 1134470859).
Provider details
- NPI number
- 1134470859
- Entity type
- Organization
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Laura Fey, Sr. Director Physician Rev Cycle(615) 221-3641
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
- Pulmonary Disease Physician207RP1001X
Allopathic & Osteopathic Physicians
- Pediatric Adolescent Medicine Physician2080A0000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-09-20
- Last updated
- 2023-07-07
- Certified
- 2023-07-07
Frequently asked questions
- What is King City Physician Company, LLC's NPI number?
- King City Physician Company, LLC's National Provider Identifier (NPI) is 1134470859, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is King City Physician Company, LLC?
- King City Physician Company, LLC is classified in the NPPES registry as Plastic Surgery within the Head & Neck (Otolaryngology) Physician (Allopathic & Osteopathic Physicians).
- Where is King City Physician Company, LLC located?
- King City Physician Company, LLC's practice location on file with NPPES is 4117 S Water Tower Pl, Mount Vernon, IL 62864-6567.
- What is King City Physician Company, LLC's phone number?
- The practice phone number listed in the NPPES registry for King City Physician Company, LLC is (618) 242-0672.
- Who is the authorized official for King City Physician Company, LLC?
- The authorized official listed on King City Physician Company, LLC's NPPES record is Laura Fey, Sr. Director Physician Rev Cycle. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is King City Physician Company, LLC's NPI active?
- Yes — King City Physician Company, LLC's NPI (1134470859) is active in the NPPES registry as of the last update on 2023-07-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.