Individual
KIRBY LYNN MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CHT
Contact information
Practice address
2501 SUNTREE DR, PARAGOULD, AR 72450-9139
(870) 573-4283
Mailing address
2501 SUNTREE DR, PARAGOULD, AR 72450-9139
(870) 573-4283
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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