Individual
KIMBERLY J KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 JEFFERSON CT, BEREA, KY 40403-1544
(859) 358-2059
Mailing address
108 JEFFERSON CT, BEREA, KY 40403-1544
(859) 358-2059
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1186485
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1186485
—
KY
Enumeration date
09/26/2022
Last updated
09/26/2022
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