Individual
DIANE M. KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8415 GOODWOOD BLVD, SUITE 202, BATON ROUGE, LA 70806-7851
(225) 765-8013
(225) 765-2033
Mailing address
8415 GOODWOOD BLVD, SUITE 202, BATON ROUGE, LA 70806-7851
(225) 765-8013
(225) 765-2033
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
023132
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1484709
—
LA
Enumeration date
07/22/2006
Last updated
03/08/2011
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