Individual
NIKKI KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12650 N 150TH LN, SURPRISE, AZ 85379-6916
(480) 202-8862
Mailing address
PO BOX 8553, SURPRISE, AZ 85374-0125
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86114715
AZ
Other
Enumeration date
09/15/2023
Last updated
01/22/2024
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