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Individual

DORTHEA MORNET KIRBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SF

Contact information

Practice address
3090 BASSETT HEIGHTS ROAD EXT, BASSETT, VA 24055-4812
(276) 252-1043
(276) 293-1178
Mailing address
3090 BASSETT HEIGHTS ROAD EXT, BASSETT, VA 24055-4812
(276) 252-1043
(276) 293-1178

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1073997953
VA
Enumeration date
03/20/2019
Last updated
03/20/2019
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