| Kirby Health Care, P. C. | |
|
1501 Centre St Ste 102 Rapid City SD 57703-3004 | |
| (605) 484-9775 | |
| (605) 343-3007 |
| Full Name | Kirby Health Care, P. C. |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 1501 Centre St Ste 102, Rapid City, South Dakota |
| Authorized Official Name and Position | Paulette Angela Kirby (OWNER) |
| Authorized Official Contact | 6054849775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirby Health Care, P. C. 1501 Centre St Ste 102 Rapid City SD 57703-3004 Ph: (605) 343-3007 | Kirby Health Care, P. C. 1501 Centre St Ste 102 Rapid City SD 57703-3004 Ph: (605) 484-9775 |
| NPI Number | 1043354319 |
|---|---|
| Provider Enumeration Date | 02/19/2007 |
| Last Update Date | 12/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043354319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0330 (South Dakota) | Primary |
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