Individual
BRANDON LEE KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1297 W HOBSONWAY, BLYTHE, CA 92225-1423
(760) 921-5000
(760) 921-5002
Mailing address
1100 N D ST, SAN BERNARDINO, CA 92410-3524
(909) 381-3774
(909) 381-6845
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/15/2019
Last updated
11/03/2023
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