Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

King City Physician Company, LLC

Organization Family Medicine Physician · NPI 1134470859

King City Physician Company, LLC is a Family Medicine Physician in Mount Vernon, Illinois. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
10
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4117 S Water Tower Pl Ste C
Mount Vernon, IL 62864-6567
Phone: (618) 242-0672
Fax: (618) 242-0862
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery within the Head & Neck (Otolaryngology) Physician (primary) Taxonomy 207YX0007X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Pulmonary Disease Physician Taxonomy 207RP1001X
Pediatric Adolescent Medicine Physician Taxonomy 2080A0000X
Surgery Physician Taxonomy 208600000X
Urology Physician Taxonomy 208800000X
Physician Assistant Taxonomy 363A00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1134470859
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Fey — Sr. Director Physician Rev Cycle · (615) 221-3641
NPI enumeratedSeptember 20, 2012
Last updated in NPPESJuly 7, 2023
Certification dateJuly 7, 2023
Mailing address4117 S Water Tower Pl, Suite C, Mount Vernon, IL 62864-6567

Other providers in Mount Vernon