Kirtley, Robert Glenn

Kirtley, Robert Glenn is an individual health care provider with primary practice located at 101 W Northside Dr # F , Valdosta GA 31602-1714. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Kirtley, Robert Glenn can be contacted via phone (229) 262-1981.

Contact Information

Primary practice address
101 W Northside Dr # F Valdosta GA 31602-1714
Phone: (229) 262-1981
Fax: (229) 375-0392
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 82327 Georgia
Allopathic & Osteopathic Physicians / General Practice 208D00000X 01069431A Indiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 01069431A Indiana

Profile Details

NPI number 1477780708
LBN Legal business name Kirtley, Robert Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2009
Last updated Jul 13th, 2020 - about 4 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 1477780708 NPPES
Georgia MEDICAID 003220961C

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