Individual
PHILIP K KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2499
(206) 744-3000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD00017587
WA
207R00000X
Internal Medicine Physician
MD00017587
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070004773
RAIL ROAD MEDICARE
WA
01
—
070014971
RAILROAD MEDICARE
WA
05
—
8102535
—
WA
Enumeration date
03/15/2007
Last updated
01/05/2012
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