Individual
STACY KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
KCSA
Contact information
Practice address
1945 SCOTTSVILLE RD, B2 PMB 397, BOWLING GREEN, KY 42104-3376
(270) 781-4828
(270) 781-4828
Mailing address
1945 SCOTTSVILLE RD, B2 PMB 397, BOWLING GREEN, KY 42104-3376
(270) 781-4828
(270) 781-4828
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA296
KY
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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