Individual
MIKAYLA KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
168 KENLYNN DR, ELIZABETH, WV 26143-5652
(304) 704-9896
Mailing address
168 KENLYNN DR, ELIZABETH, WV 26143-5652
(304) 704-9896
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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