Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35082407 | OH |
N | 111NI0900X | Internist | 35082407 | OH |
N | 207RC0200X | Critical Care Medicine | 35082407 | OH |
N | 207RP1001X | Pulmonary Disease | 35082407 | OH |
N | 208000000X | Pediatrician | 35082407 | OH |
Y | 2080P0214X | Pediatric Pulmonologist | 35082407 | OH |
NPI | 1437201100 |
---|---|
Provider Name | Stephen E Kirkby |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43205-2664 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2007 |
Last Update Date | 23/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3024631 | (05) | OH |