Individual
NICOLE ALEXIS KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RCCS, RCS, RPHS, RVS
Contact information
Practice address
3962 DERBY GLEN DR, CLERMONT, FL 34711-4608
(813) 789-5975
Mailing address
3962 DERBY GLEN DR, CLERMONT, FL 34711-4608
(813) 789-5975
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
00069422
FL
2471C1101X
Cardiovascular-Interventional Technology Radiologic Technologist
Primary
00069422
—
2471S1302X
Sonography Radiologic Technologist
00069422
—
2471V0105X
Vascular Sonography Radiologic Technologist
00069422
—
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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