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Individual
KENNETH W. KIRBY JR.
Active
Individual
KENNETH W. KIRBY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, CSCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10662
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068EP
BCBS
NC
01
—
199858
MEDCOST
NC
01
—
7280958
AETNA
NC
05
—
89013RF
—
NC
Enumeration date
07/25/2006
Last updated
01/19/2009
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