Individual
MR. JOHNNY L. KIRBY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPA
Contact information
Practice address
211 S NC 127 HWY, SUITE 130, HICKORY, NC 28602-3541
(828) 315-1368
(828) 270-7868
Mailing address
75 BROWNING DR, TAYLORSVILLE, NC 28681-6642
(828) 315-1368
(828) 270-7868
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2364
NC
103TS0200X
School Psychologist
2364
NC
Other
Enumeration date
01/31/2008
Last updated
09/20/2012
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