DALE ANTHONY KIRBY NPI 1063500700

NPI Information

NPI: 1063500700
Provider Name: DALE ANTHONY KIRBY
Classification: Contractor - 171WH0202X
Entity Type: Individual

Specialization: Home Modifications

Address:
62 ANDERSON STATE ROAD
FAYETTEVILLE, OH
ZIP 45118
Phone: (937) 205-2337
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Dale Anthony Kirby is a home modifications contractor in Fayetteville, OH. Dale Anthony Kirby NPI is 1063500700. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

62 ANDERSON STATE ROAD
FAYETTEVILLE, OH
ZIP 45118
Phone: (937) 205-2337
Fax: (513) 875-2811

The enumeration date for this NPI number is 10/10/2006 and was last updated on 7/9/2007.

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	171WH0202X	Contractor	Home Modifications	2291023	OHIO	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	2291023	MEDICAID	OHIO

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: 11/14/2023

NPI Synchronization or Removal

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