Individual provider · Type 1 NPI

Madison Chandler Wells Kirby, DO

Student in an Organized Health Care Education/Training Program · Fort Worth, TX

NPI number 1104768035 Active

Practice location

1400 8th Ave
Fort Worth, TX 76104-4110

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104768035

Madison Chandler Wells Kirby, DO's National Provider Identifier is 1104768035, issued on Apr 8, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 8, 2026.