| Doctor Name: | SEAN JOSEPH KIRBY |
| NPI Number: | 1033519780 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 0010-05155 |
| Business Practice Address: | 391 Serpentine Dr Suite 250 Spartanburg, SC - 293033096 |
| Business Phone Number: | 8645606717 |
| Business Fax Number: | 8645607105 |
| Mailing Address: | Po Box 743070, ATLANTA |
| State: | GA |
| Postal Code: | 303743070 |
| Phone Number: | 8645604304 |
| Fax Number: | 8645604413 |
| NPI Enumeration Date: | 08/31/2014 |
| NPI Last Update Date: | 11/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 0010-05155 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |