Individual
KALEIGH-JO TAYLOR KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
101 CIVIC CENTER LN, LAKE HAVASU CITY, AZ 86403-5607
(928) 855-8185
Mailing address
2233 PLYMOUTH AVE SE, GRAND RAPIDS, MI 49506-5223
(616) 818-8181
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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