Individual
REBBECCA LEIGH KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
205 S PARK LN STE 210, ALTUS, OK 73521-5757
(580) 379-6690
(580) 379-6694
Mailing address
1200 E PECAN ST, ALTUS, OK 73521-6192
(580) 379-5000
(580) 379-5509
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
221860
OK
363LF0000X
Family Nurse Practitioner
83255
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201355590A
—
OK
Enumeration date
10/14/2024
Last updated
11/04/2025
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