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Individual

KIRBI ALEXANDRIA KERSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
1001 SAINT JOSEPH LN, LONDON, KY 40741-8345
(606) 330-6000
Mailing address
1431 CENTERPOINT BLVD, SUITE 100, KNOXVILLE, TN 37932-1984
(865) 985-7363
(865) 985-7077

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3009246
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13719720
CAQH ID
05
7100354600
KY
01
K132810
MEDICARE ID
KY
Enumeration date
05/21/2015
Last updated
04/29/2021
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