Individual
KIRBY MONIQUE COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2709 OLD BRANDON RD, PEARL, MS 39208-4702
(769) 208-6109
Mailing address
408 POPLAR BLVD, PEARL, MS 39208
(769) 798-9400
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
01-10259
MS
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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