Individual
DR. SHANNON LEE KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2490 STANTONSBURG RD, GREENVILLE, NC 27834-7210
(252) 752-4844
(252) 752-7131
Mailing address
2490 STANTONSBURG RD, GREENVILLE, NC 27834-7210
(252) 752-4844
(252) 752-7131
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1814
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189296
MEDCOST
—
05
—
89093E9
—
NC
Enumeration date
03/10/2006
Last updated
03/20/2023
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