Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | MD.23784 | AL |
N | 207VX0201X | Gynecologic Oncologist | ME95793 | FL |
NPI | 1427008184 |
---|---|
Provider Name | Dr. Tyler O'neal Kirby |
First Address | Huntsville, AL 35804-2705 |
Second Address | Huntsville, AL 35801-5134 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2006 |
Last Update Date | 11/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009923165 | (05) | AL |
009923175 | (05) | AL |
009923185 | (05) | AL |
009969155 | (05) | AL |
051514740 | (05) | AL |
051514740 | BLUE CROSS (01) | AL |
051514741 | BLUE CROSS (01) | AL |
051514742 | BLUE CROSS (01) | AL |
051514743 | BLUE CROSS (01) | AL |
051523912 | BLUE CROSS (01) | AL |
051530398 | BLUE CROSS (01) | AL |
102I986140 | MEDICARE PTAN (01) | AL |
155957 | (05) | AL |
511-44257 | BLUE CROSS (01) | AL |
P00008044 | RAILROAD MEDICARE (01) | AL |
P01335306 | RAILROAD PTAN (01) | AL |