PAMELA KIRBY PA NPI 1679892996

NPI Information

NPI: 1679892996
Provider Name: PAMELA KIRBY PA

Doing Business As: DR PAMEL KIRBY DPM

Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
4606 SOUTH CLYDE MORRIS BOULEVARD
SUITE 1J
PORT ORANGE, FL
ZIP 32129
Phone: (386) 788-4111
Get Directions

PAMELA KIRBY PA is a podiatric clinic center in Port Orange, FL. PAMELA KIRBY PA NPI is 1679892996. The provider is registered as an organization entity type.
The provider Is Doing Business As Dr Pamel Kirby Dpm.

The provider's business location address is:

4606 SOUTH CLYDE MORRIS BOULEVARD
SUITE 1J
PORT ORANGE, FL
ZIP 32129
Phone: (386) 788-4111
Fax: (386) 788-4113

The provider's authorized official is Pamela Kibry .
The authorized official title is President and has the following contact phone number (386) 788-4111.

The enumeration date for this NPI number is 5/26/2010 and was last updated on 5/26/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			No
2	261QM2500X	Clinic/Center	Medical Specialty	AP2222	FLORIDA	No
3	261QP1100X	Clinic/Center	Podiatric	PO3308	FLORIDA	No
4	261QP1100X	Clinic/Center	Podiatric	PO2796	FLORIDA	No
5	261QP2000X	Clinic/Center	Physical Therapy	PT17909	FLORIDA	No
6	261QP1100X	Clinic/Center	Podiatric	PO0002581	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1160660001	MEDICARE NSC	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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