Individual
CALVIN WAYNE KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
418 COLEGATE DR, MARIETTA, OH 45750-9549
(740) 374-8730
Mailing address
418 COLEGATE DR, MARIETTA, OH 45750-9549
(740) 374-8730
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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