Individual
DR. JASON KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MBA, FASAM
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
301496
NY
207Q00000X
Family Medicine Physician
OS015816
PA
207QA0401X
Addiction Medicine (Family Medicine) Physician
301496
NY
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
4609
TN
Other
Enumeration date
06/14/2010
Last updated
06/06/2022
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