Individual
DR. KEITH ALAN KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8 WHEELER CT, SAVANNAH, GA 31405-5719
(912) 352-4340
(912) 352-8931
Mailing address
8 WHEELER ST, SAVANNAH, GA 31405-5710
(912) 352-4340
(912) 352-4616
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
40438
GA
208VP0014X
Interventional Pain Medicine Physician
40438
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201577941
INTERNAL REVENUE SERVICE
—
Enumeration date
10/31/2006
Last updated
01/03/2019
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