Kirley, Stephen Walter

Kirley, Stephen Walter is an individual health care provider with primary practice located at 2554 Lewisville-Clemmons Rd , Clemmons NC 27012-8711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Kirley, Stephen Walter can be contacted via phone (336) 766-7241.

Contact Information

Primary practice address
2554 Lewisville-Clemmons Rd Clemmons NC 27012-8711
Fax: (336) 766-9143
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 20153 North Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X C37095 California

Profile Details

NPI number 1306847173
LBN Legal business name Kirley, Stephen Walter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Jul 8th, 2007 - about 17 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 1306847173 NPPES
North Carolina MEDICAID 8949521

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