Provider Demographics
NPI:1679522114
Name:KING, DUANE WHITBY (MD)
Entity Type:Individual
Prefix:DR
First Name:DUANE
Middle Name:WHITBY
Last Name:KING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1160 HUFFMAN ROAD
Mailing Address - Street 2:PARKWAY MEDICAL CENTER
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35215
Mailing Address - Country:US
Mailing Address - Phone:205-815-5000
Mailing Address - Fax:205-815-5246
Practice Address - Street 1:1160 HUFFMAN ROAD
Practice Address - Street 2:PARKWAY MEDICAL CENTER
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35215
Practice Address - Country:US
Practice Address - Phone:205-815-5000
Practice Address - Fax:205-815-5246
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11133207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL528700720Medicaid
051501645KIWOtherBLUE CROSS BLUE SHIELD
051501645KIWOtherBLUE CROSS BLUE SHIELD
C72473Medicare UPIN