Provider Demographics
NPI:1417974932
Name:WHITTINGTON, FRANKIE KIM (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANKIE
Middle Name:KIM
Last Name:WHITTINGTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1758 PARK PL
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-1127
Mailing Address - Country:US
Mailing Address - Phone:334-263-3630
Mailing Address - Fax:334-263-3155
Practice Address - Street 1:1758 PARK PL
Practice Address - Street 2:SUITE 201
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-1127
Practice Address - Country:US
Practice Address - Phone:334-263-3630
Practice Address - Fax:334-263-3155
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL13727173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51036120WHIOtherBLUE CROSS/BLUE SHIELD
AL51036120WHIOtherBLUE CROSS/BLUE SHIELD
ALE14423Medicare UPIN