Individual
MR. SCOTTY LEE KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
23 NORTH SPRING ST, SPARTA, TN 38583
(931) 836-2532
(931) 836-2532
Mailing address
23 NORTH SPRING ST, SPARTA, TN 38583
(931) 836-2532
(931) 836-2532
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1169
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003005346
BCBS
TN
Enumeration date
10/16/2006
Last updated
07/08/2007
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