Individual
BRADLEY LAMAR KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
29495 COPPERHEAD LANE, ELKMONT, AL 35620
(256) 732-4452
(256) 732-4430
Mailing address
500 GOVERNORS DRIVE SW, HUNTSVILLE, AL 35801
(256) 518-9998
(256) 518-9941
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-090571
AL
163WP0200X
Pediatric Registered Nurse
1-090571
AL
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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