Individual
RICHARD KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 S LAKE PARK AVE, HOBART, IN 46342-6638
(219) 286-3372
Mailing address
369 N 400 E, VALPARAISO, IN 46383-9705
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28216600A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
28216600A
IN
Other
Enumeration date
06/07/2021
Last updated
01/16/2025
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