Individual
MRS. KENDI ELISE KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1121 BELLEVILLE AVE, BREWTON, AL 36426-1500
(251) 809-3240
(251) 809-6051
Mailing address
616 E OAK ST, ATMORE, AL 36502-3617
(251) 229-0565
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA676
AL
Other
Enumeration date
12/30/2009
Last updated
01/17/2014
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