Kirby, John Austin

Kirby, John Austin is an individual health care provider with primary practice located at 120 Hospital Dr Ste 130, Jefferson City TN 37760-5279. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kirby, John Austin can be contacted via phone (865) 475-4742.

Contact Information

Primary practice address
120 Hospital Dr Ste 130 Jefferson City TN 37760-5279
Fax: (865) 262-0100
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35319 Tennessee

Profile Details

NPI number 1275539835
LBN Legal business name Kirby, John Austin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Sep 27th, 2012 - about 12 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 1275539835 NPPES
Tennessee Other 3706633 MEDICARE LEGACY GROUP
Tennessee Other P00436759 MEDICARE LEGACY GROUP

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