Individual
DR. KIRBY GLEN HARVEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.
Contact information
Practice address
1381 S PATRICK DR, PATRICK AFB, FL 32925-3606
(321) 494-8234
Mailing address
1381 S PATRICK DR, PATRICK AFB, FL 32925-3606
(321) 494-8241
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01058270A
IN
2084P0800X
Psychiatry Physician
Primary
01058270A
IN
2084P0804X
Child & Adolescent Psychiatry Physician
01058270A
IN
Other
Enumeration date
09/20/2006
Last updated
10/12/2022
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