Individual
DEBORAH L KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPC
Contact information
Practice address
612 WOODLAND SQUARE LOOP SE STE 401, LACEY, WA 98503-1070
(360) 972-0461
(360) 489-1435
Mailing address
612 WOODLAND SQUARE LOOP SE STE 401, LACEY, WA 98503-1070
(360) 972-0461
(360) 357-2819
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG60815969
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912402850
—
WA
Enumeration date
03/23/2018
Last updated
03/01/2019
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