Organization
HOLLY FRITCH KIRBY, M.D., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOLLY FRITCH M.D. (MANAGER)
(913) 451-3030
Entity
Organization
Contact information
Practice address
11201 NALL AVE, SUITE 100, LEAWOOD, KS 66211-1669
(913) 451-3030
Mailing address
11201 NALL AVE, SUITE 100, LEAWOOD, KS 66211-1669
(913) 451-3030
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
18382
KS
207NS0135X
Procedural Dermatology Physician
18382
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X780000A
MEDICARE GROUP PROVIDER #
KS
Enumeration date
05/04/2006
Last updated
01/31/2013
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