Kirby, Grant Edwin
Kirby, Grant Edwin is an individual health care provider with primary practice located at 1500 Cooper St , Fort Worth TX 76104-2710. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Kirby, Grant Edwin can be contacted via phone (682) 885-7080.Contact Information
Primary practice address
1500 Cooper St
Fort Worth TX 76104-2710
Phone: (682) 885-7080
Fax: (682) 885-7085
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA01989 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA01989 | Texas |
Profile Details
NPI number | 1578574653 |
---|---|
LBN Legal business name | Kirby, Grant Edwin |
Credentials | PAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 11th, 2006 |
Last updated | May 5th, 2021 - about 3 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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