Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0401X | Family Doctor - Addiction Medicine | ME131226 | FL |
N | 207RA0401X | Internist - Addiction Medicine | ME131226 | FL |
NPI | 1386957280 |
---|---|
Provider Name | Dr. David Scott Kirby |
First Address | Gainesville, FL 32605-4717 |
Second Address | Lake City, FL 32025-0440 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2010 |
Last Update Date | 04/03/2020 |