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Organization

NEW GENESIS VITALITY, PLLC

Active
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Organization

NEW GENESIS VITALITY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEITH A KIRBOW APRN (MANAGING PARTNER)
(903) 806-1060
Entity
Organization

Contact information

Practice address
10601 CLARENCE DR STE 250, FRISCO, TX 75033-3867
(903) 401-8001
Mailing address
10601 CLARENCE DR STE 250, FRISCO, TX 75033-3867
(903) 401-8001

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—

Other

Enumeration date
04/21/2026
Last updated
04/21/2026
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