Kirby, Samuel Craig

Kirby, Samuel Craig is an individual health care provider with primary practice located at 404 Westwood Ave Ste 107, High Point NC 27262-4316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Kirby, Samuel Craig can be contacted via phone (336) 887-3195.

Contact Information

Primary practice address
404 Westwood Ave Ste 107 High Point NC 27262-4316
Fax: (336) 887-3194
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 30188 North Carolina

Profile Details

NPI number 1124022652
LBN Legal business name Kirby, Samuel Craig
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Jan 8th, 2010 - about 14 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 1124022652 NPPES
North Carolina MEDICAID 8949386

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