Organization
MICHIANA UROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT A KIRBY M.D. (OWNER PHYSICIAN)
(269) 695-3897
Entity
Organization
Contact information
Practice address
804 E FRONT ST, BUCHANAN, MI 49107-1444
(269) 695-3897
(269) 695-0460
Mailing address
804 E FRONT ST, BUCHANAN, MI 49107-1444
(269) 695-3897
(269) 695-0460
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301077717
MI
Other
Enumeration date
05/29/2007
Last updated
08/22/2020
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