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DR. PAMELA KIRBY PA NPI 1174780134


NPI Information

NPI: 1174780134
Provider Name: DR. PAMELA KIRBY PA

Doing Business As: PAMELA KIRBY, DPM

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

Specialization: Podiatric

Address:
4606 S CLYDE MORRIS BLVD
1 J
PORT ORANGE, FL
ZIP 32129
Phone: (386) 788-4111
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DR. PAMELA KIRBY PA is a podiatric clinic center in Port Orange, FL. DR. PAMELA KIRBY PA NPI is 1174780134. The provider is registered as an organization entity type.
The provider Is Doing Business As Pamela Kirby, Dpm.

The provider's business location address is:

4606 S CLYDE MORRIS BLVD
1 J
PORT ORANGE, FL
ZIP 32129-453
Phone: (386) 788-4111
Fax: (386) 788-4113

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

The enumeration date for this NPI number is 5/19/2008 and was last updated on 8/20/2015.


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
1261QP1100XClinic/CenterPodiatricPO2796FLORIDANo
2261QP1100XClinic/CenterPodiatricPO0003382FLORIDANo
3261QP2000XClinic/CenterPhysical TherapyPT17909FLORIDANo
4261QP2000XClinic/CenterPhysical TherapyPT10210FLORIDANo
5261QP1100XClinic/CenterPodiatricPO2581FLORIDAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.