Mr. Brent Logan Kirby
Pastoral Counselor
17345 N 150 E
Summitville
, Indiana 46070-9121
Mr. Brent Logan Kirby
Pastoral Counselor
17345 N 150 E
Summitville
, Indiana 46070-9121
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About
Features
Specialties
- Pastoral Counselor
Languages spoken
- English
Location
First Address
- Mr. Brent Logan Kirby
- Po Box 305
- Summitville, IN
- Zip : 46070-0305
- Phone :
Second Address
- Mr. Brent Logan Kirby
- 17345 N 150 E
- Summitville, IN
- Zip : 46070-9121
- Phone : (907) 690-1701
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP1600X | Pastoral Counselor |
National Provider Identifier
| NPI | 1154097111 |
|---|---|
| Provider Name | Mr. Brent Logan Kirby |
| First Address | Summitville, IN 46070-0305 |
| Second Address | Summitville, IN 46070-9121 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/08/2021 |
| Last Update Date | 19/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.