Individual
JUSTIN LANCE KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
975 E 3RD ST, HOSPITALIST, CHATTANOOGA, TN 37403-2147
(423) 778-5179
Mailing address
2205 MCCALLIE AVE STE 310, CHATTANOOGA, TN 37404-3334
(423) 698-2435
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22286
TN
Other
Enumeration date
02/07/2017
Last updated
12/22/2021
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