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Individual

DR. MATTHEW WALKER KIRBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2006-01702
NC
2085R0202X
Diagnostic Radiology Physician
Primary
N2601
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2059362-04
TX
05
205936201
TX
01
8L18340
MEDICARE - COLLIN COUNTY
TX
Enumeration date
03/21/2008
Last updated
08/15/2012
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