Doctor Name: | PAULETTE A KIRBY |
NPI Number: | 1033189790 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | R024388 |
Business Practice Address: | 811 Columbus St Rapid City, SD - 577013540 |
Business Phone Number: | 6053433007 |
Business Fax Number: | |
Mailing Address: | 22755 Silver City Rd, SILVER CITY |
State: | SD |
Postal Code: | 577026040 |
Phone Number: | 6053423613 |
Fax Number: | |
NPI Enumeration Date: | 01/25/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R024388 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |