Healthcare Provider Details

I. General information

NPI: 1053153247
Provider Name (Legal Business Name): DUANE BIRKY MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2024
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 HOSPITAL DR STE 1
CAMDEN AR
71701-4651
US

IV. Provider business mailing address

415 HOSPITAL DR STE 1
CAMDEN AR
71701-4651
US

V. Phone/Fax

Practice location:
  • Phone: 479-883-7079
  • Fax: 870-836-9430
Mailing address:
  • Phone: 479-883-7079
  • Fax: 870-836-9430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DUANE LEWIS BIRKY
Title or Position: NEUROLOGIST
Credential: M.D.
Phone: 479-883-7079