Individual
QUINTOLYN KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5931 GREENVILLE AVE # 5506, DALLAS, TX 75206-1906
(817) 205-8061
Mailing address
5931 GREENVILLE AVE # 5506, DALLAS, TX 75206-1906
(817) 205-8061
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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