Individual
SIDNEY RAY KIRKEBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15116 N COTTON LN, SURPRISE, AZ 85388-9618
(623) 322-8250
Mailing address
8406 W BELMONT AVE, GLENDALE, AZ 85305-3946
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP16573
AZ
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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