Individual
JOHN KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
445 S CEDAR AVE, FRESNO, CA 93702-2907
(559) 459-5719
(559) 459-6900
Mailing address
1534 N CHERRY LN, CLOVIS, CA 93619-7604
(559) 298-9455
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G15922
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G159220
—
CA
Enumeration date
07/18/2006
Last updated
07/09/2007
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