Individual provider · Type 1 NPI
Dale Anthony Kirby
Home Modifications Contractor · Fayetteville, OH
NPI number
1063500700
Active
Practice location
62 Anderson State Road
Fayetteville, OH 45118
Fax (513) 875-2811
Mailing address
PO Box 141
Fayetteville, OH 45118-0141
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Modifications Contractor Primary | 171WH0202X | 2291023 (OH) |
Home Modifications Contractor: A contractor who makes modifications to homes to accommodate a health condition.
About NPI 1063500700
Dale Anthony Kirby's National Provider Identifier is 1063500700, issued on Oct 10, 2006. The primary taxonomy on file is Home Modifications Contractor (171WH0202X), and the practice location is in Fayetteville, OH. The record was last updated on Jul 9, 2007.