Humbles, Kirby Dwayne
Humbles, Kirby Dwayne is an individual health care provider with primary practice located at 8333 Goodwood Blvd # Na , Baton Rouge LA 70806-7744. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Humbles, Kirby Dwayne can be contacted via phone (225) 272-0106.Contact Information
Primary practice address
8333 Goodwood Blvd # Na
Baton Rouge LA 70806-7744
Phone: (225) 272-0106
Fax: (225) 275-4558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | AP04446 | Louisiana |
Profile Details
| NPI number | 1770580060 |
|---|---|
| LBN Legal business name | Humbles, Kirby Dwayne |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Oct 23rd, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770580060 | NPPES |
| Louisiana | MEDICAID | 1476641 |
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