Organization
STEPHEN W KIRLEY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN WALTER KIRLEY M.D. (OWNER)
(336) 766-7241
Entity
Organization
Contact information
Practice address
2554 LEWISVILLE CLEMMONS RD, SUITE 310, CLEMMONS, NC 27012-8110
(336) 766-7241
(336) 766-9143
Mailing address
2554 LEWISVILLE CLEMMONS RD, SUITE 310, CLEMMONS, NC 27012-8110
(336) 766-7241
(336) 766-9143
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20153
NC
2084P0800X
Psychiatry Physician
C37095
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8949521
—
NC
Enumeration date
05/31/2007
Last updated
11/15/2007
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