Individual
IAN WILLIAM KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
22675 ALESSANDRO BLVD, MORENO VALLEY, CA 92553-8551
(951) 571-2300
Mailing address
22675 ALESSANDRO BLVD, MORENO VALLEY, CA 92553-8551
(951) 571-2300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95010787
CA
363LA2200X
Adult Health Nurse Practitioner
351409
CA
363LA2200X
Adult Health Nurse Practitioner
351409
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
95010787
CA
363LF0000X
Family Nurse Practitioner
95010787
CA
Other
Enumeration date
01/29/2019
Last updated
04/20/2026
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