KEITH ALLEN KIRBOW APRN FNP-C PMHNP-C NPI 1376189308

NPI Information

NPI: 1376189308
Provider Name: KEITH ALLEN KIRBOW, APRN, FNP-C, PMHNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1300 N 6TH ST
LONGVIEW, TX
ZIP 75601
Phone: (903) 921-1813
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Keith Allen Kirbow, APRN, FNP-C, PMHNP-C is a family nurse practitioner in Longview, TX with 5 years of experience. Keith Allen Kirbow, APRN, FNP-C, PMHNP-C NPI is 1376189308. 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:

1300 N 6TH ST
LONGVIEW, TX
ZIP 75601-567
Phone: (903) 921-1813

The NPI 1376189308 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/25/2019 and was last updated on 9/14/2021.

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	363LF0000X	Nurse Practitioner	Family	AP144151	TEXAS	Yes
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP144151	TEXAS	No

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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