| Doctor Name: | BRADLEY LAMAR KIRBY |
| NPI Number: | 1295962942 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN |
| License Number: | 1-090571 |
| Business Practice Address: | 29495 Copperhead Lane Elkmont, AL - 35620 |
| Business Phone Number: | 2567324452 |
| Business Fax Number: | 2567324430 |
| Mailing Address: | 500 Governors Drive Sw, HUNTSVILLE |
| State: | AL |
| Postal Code: | 35801 |
| Phone Number: | 2565189998 |
| Fax Number: | 2565189941 |
| NPI Enumeration Date: | 06/19/2009 |
| NPI Last Update Date: | 06/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0200X |
| License Number: | 1-090571 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |