Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

King City Physician Company, LLC

Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Mount Vernon, IL · enumerated 2012 · authorized official Laura Fey, Sr. Director Physician Rev Cycle.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134470859

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Registry record

Entity type Organization (Type 2)

Legal business name King City Physician Company, LLC

Practice address 4117 S Water Tower Pl, Suite C, Mount Vernon, IL, 62864

Phone (618) 242-0672

Fax (618) 242-0862

Enumeration date Sep 20, 2012

Last updated in NPPES Jul 7, 2023

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Secondary

207RP1001X Pulmonary Disease Physician Allopathic & Osteopathic Physicians Secondary

207YX0007X Plastic Surgery within the Head & Neck (Otolaryngology) Physician Allopathic & Osteopathic Physicians Primary

2080A0000X Pediatric Adolescent Medicine Physician Allopathic & Osteopathic Physicians Secondary

208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary

208800000X Urology Physician Allopathic & Osteopathic Physicians Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Laura Fey

Title Sr. Director Physician Rev Cycle

Phone (615) 221-3641

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is King City Physician Company, LLC?

King City Physician Company, LLC is registered in NPPES as a Plastic Surgery within the Head & Neck (Otolaryngology) Physician (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-07-07.