Individual
ANTHONY JAMES KIRKBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
122 W BERGEY ST, WADSWORTH, OH 44281-1329
(216) 408-0057
Mailing address
122 W BERGEY ST, WADSWORTH, OH 44281-1329
(216) 408-0057
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN126061
OH
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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