Provider Information for 1487167946
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KRISTIN JOY KIRBY
Sex: Female
NPI: 1487167946
Last Updated: 2023-05-11
Certification Date: 2023-05-11
Certification Date: 2023-05-11
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1487167946 | ||||||||||||
| Enumeration Date | 2017-11-07 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 900 W NORFOLK AVE STE 200 NORFOLK, NE 68701-5006 United States Phone: | Fax: | ||||||||||||
| Primary Practice Address | 3400 PLANTATION DR STE 100 LINCOLN, NE 68516-5199 United States Phone: 402-360-2042 | Fax: | ||||||||||||
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