Kirby, David Jessie

Kirby, David Jessie is an individual health care provider with primary practice located at 4218 Arendell St Suite M, Morehead City NC 28557-2866. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Kirby, David Jessie can be contacted via phone (252) 808-3100.

Contact Information

Primary practice address
4218 Arendell St Suite M Morehead City NC 28557-2866
Fax: (252) 808-3120
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 2010-00614 North Carolina

Profile Details

NPI number 1083696918
LBN Legal business name Kirby, David Jessie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Apr 24th, 2014 - about 10 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 1083696918 NPPES
North Carolina MEDICAID 5915523

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