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Contact Information

BRENT L KIRBY, MA
17345 N 150 E
SUMMITVILLE, IN46070-9121
 Phone: 907-690-1701
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for BRENT L KIRBY · (Male)

NPI Number 1154097111
Status Active
Credentials MA
Entity Individual
Enumeration date 08/19/2021
Last updated 08/19/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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