Provider Demographics
NPI:1053153247
Name:DUANE BIRKY MD PA
Entity type:Organization
Organization Name:DUANE BIRKY MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEUROLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:DUANE
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:BIRKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:479-883-7079
Mailing Address - Street 1:24 MAISONS DR.
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-9017
Mailing Address - Country:US
Mailing Address - Phone:479-883-7079
Mailing Address - Fax:501-448-2021
Practice Address - Street 1:24 MAISONS DR.
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-9017
Practice Address - Country:US
Practice Address - Phone:479-883-7079
Practice Address - Fax:501-448-2021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Single Specialty