Provider Demographics
NPI:1174020861
Name:KING, KOURTNEY BELL (MD)
Entity type:Individual
Prefix:
First Name:KOURTNEY
Middle Name:BELL
Last Name:KING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 16TH ST
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-3609
Mailing Address - Country:US
Mailing Address - Phone:304-234-1935
Mailing Address - Fax:304-234-1916
Practice Address - Street 1:58 16TH ST
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-3609
Practice Address - Country:US
Practice Address - Phone:304-234-1935
Practice Address - Fax:304-234-1916
Is Sole Proprietor?:No
Enumeration Date:2018-04-09
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD474262207R00000X, 207RP1001X
OH35C.002777207RP1001X
TXT7269207RP1001X
WV35216207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine