| Doctor Name: | CARA WHITE KIRBY |
| NPI Number: | 1194033811 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 02741 |
| Business Practice Address: | 511 Ruin Creek Rd Suite 102 Henderson, NC - 275365919 |
| Business Phone Number: | 2524923404 |
| Business Fax Number: | |
| Mailing Address: | 511 Ruin Creek Rd, Suite 102 HENDERSON |
| State: | NC |
| Postal Code: | 275365919 |
| Phone Number: | 2524923404 |
| Fax Number: | |
| NPI Enumeration Date: | 09/15/2010 |
| NPI Last Update Date: | 09/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 02741 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |