Kirby, Kenneth Lamont

Kirby, Kenneth Lamont is an individual health care provider with primary practice located at 839 Chief Eddie Hoffman Hwy , Bethel AK 99559. He recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as his primary health care specialty. Kirby, Kenneth Lamont can be contacted via phone (907) 543-2740.

Contact Information

Primary practice address
839 Chief Eddie Hoffman Hwy Bethel AK 99559
Fax: (907) 543-6729
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X Alaska

Profile Details

NPI number 1134424427
LBN Legal business name Kirby, Kenneth Lamont
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2011
Last updated Jan 19th, 2018 - about 6 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 1134424427 NPPES
Alaska MEDICAID 1020986

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