Individual
RODERICK KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2429 ARDMORE MNR, WINSTON SALEM, NC 27103-4801
(336) 776-8176
Mailing address
2429 ARDMORE MNR, WINSTON SALEM, NC 27103-4801
(336) 776-8176
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
2879506
NC
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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