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Individual

AMANDA KAY KIRBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
3001 DAGGETT AVE, KLAMATH FALLS, OR 97601-1118
(541) 851-4800
(541) 851-4801
Mailing address
3001 DAGGETT AVE, KLAMATH FALLS, OR 97601-1118
(530) 351-4120

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
202210762NP-PP
OR

Other

Enumeration date
07/21/2022
Last updated
07/21/2022
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