Individual
CAROL MARIE BIRT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2600 W 6TH ST, UNIT E-1, LAWRENCE, KS 66049-4318
(239) 247-1313
Mailing address
2600 W 6TH ST, UNIT E-1, LAWRENCE, KS 66049
(239) 247-1313
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME 88874
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0423511
PROFESSIONAL LICENSE
KS
Enumeration date
09/16/2006
Last updated
06/18/2013
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