Individual
MR. KIRBY CHARLES HASKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-6191
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-6191
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
28201821C
IN
Other
Enumeration date
04/25/2022
Last updated
02/16/2023
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