Individual
KIRABO HERBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 MEDSPRING DR STE 100, CLAYTON, NC 27520-9687
(919) 359-3500
Mailing address
2406 BLUE RIDGE RD STE 100, RALEIGH, NC 27607-6692
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
202000892
NC
Other
Enumeration date
04/23/2017
Last updated
11/26/2021
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