Individual
ETHAN LEE KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
11927 KINGSTON PIKE, FARRAGUT, TN 37934-4602
(865) 671-0932
Mailing address
2316 YELLOW BIRCH WAY APT A303, KNOXVILLE, TN 37931-2588
(865) 456-2945
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000043673
TN
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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