Individual
KEIERA SHANAY KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
59 SUNCREST DR, JACKSON, TN 38305-1783
(731) 803-0612
Mailing address
59 SUNCREST DR, JACKSON, TN 38305-1783
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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