Individual
COLLIN KELLEY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 7TH AVE S, SUITE 420, BIRMINGHAM, AL 35233-1711
(205) 939-9235
(205) 939-9936
Mailing address
1600 7TH AVE S, SUITE 420, BIRMINGHAM, AL 35233-1711
(205) 939-9235
(205) 939-9936
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
26164
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009910747
—
AL
01
—
051540755
BLUE CROSS AND BLUE SHIELD
AL
Enumeration date
01/30/2007
Last updated
06/29/2010
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