Kirby, Derek K

Kirby, Derek K is an individual health care provider with primary practice located at 205 S Park Ln , Altus OK 73521-5755. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Kirby, Derek K can be contacted via phone (580) 379-6850.

Contact Information

Primary practice address
205 S Park Ln Altus OK 73521-5755
Phone: (580) 379-6850
Fax: (580) 379-6859
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1131 Oklahoma
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1365 Oklahoma

Profile Details

NPI number 1750395406
LBN Legal business name Kirby, Derek K
Credentials LPC, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jan 2nd, 2024 - about 10 months 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 1750395406 NPPES
Oklahoma MEDICAID 200270420A

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