Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 9900083 | NC |
NPI | 1134116817 |
---|---|
Provider Name | Dr. Daniel Lee Kirby |
First Address | Davidson, NC 28036-7911 |
Second Address | Davidson, NC 28036-7911 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2005 |
Last Update Date | 08/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
891180N | (05) | NC |
F49324 | (02) | NC |
N00083 | (05) | SC |