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:
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Health care specialties

SpecialtyCodeLicense #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 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770580060 NPPES
Louisiana MEDICAID 1476641

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