Individual
ZANE ASHTON KIRBY
Active
Individual
ZANE ASHTON KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.200384
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2139002
—
LA
01
—
P00309913
RRMCARE THRU PEPA
LA
Enumeration date
09/21/2010
Last updated
05/21/2019
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