Provider Demographics
NPI:1780666305
Name:KING, BRIGITTE DANIELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIGITTE
Middle Name:DANIELLE
Last Name:KING
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Gender:F
Credentials:MD
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Mailing Address - Street 1:100 STERLING WAY
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MT STERLING
Mailing Address - State:KY
Mailing Address - Zip Code:40353-1176
Mailing Address - Country:US
Mailing Address - Phone:859-498-0200
Mailing Address - Fax:859-498-5812
Practice Address - Street 1:100 STERLING WAY
Practice Address - Street 2:SUITE 1
Practice Address - City:MT STERLING
Practice Address - State:KY
Practice Address - Zip Code:40353-1176
Practice Address - Country:US
Practice Address - Phone:859-498-0200
Practice Address - Fax:859-498-5812
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2013-06-10
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Provider Licenses
StateLicense IDTaxonomies
KY37427207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64009921Medicaid
KY11101612OtherCAQH
KY000000232395OtherANTHEM
KY11101612OtherCAQH
KYH14047Medicare UPIN
KY000000232395OtherANTHEM