Individual
MS. CORINNE ANNE KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 348-8000
Mailing address
471 WILLOW CREEK DR, CAMDENTON, MO 65020-6845
(573) 216-6092
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2001027162
MO
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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