Kirby, Kenneth W.

Kirby, Kenneth W. is an individual health care provider with primary practice located at 847 Wake Forest Business Park Suite 202, Wake Forest NC 27587-6575. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kirby, Kenneth W. can be contacted via phone (919) 562-9410.

Contact Information

Primary practice address
847 Wake Forest Business Park Suite 202 Wake Forest NC 27587-6575
Phone: (919) 562-9410
Fax: (919) 542-2948
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10662 North Carolina

Profile Details

NPI number 1861415770
LBN Legal business name Kirby, Kenneth W.
Credentials DPT, CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jan 19th, 2009 - about 15 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 1861415770 NPPES
North Carolina Other 068EP BCBS
North Carolina MEDICAID 89013RF BCBS
North Carolina Other 7280958 BCBS
North Carolina Other 199858 BCBS

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