Individual provider · Type 1 NPI
Keavern Kirby
Women's Health Nurse Practitioner · Brooklyn, NY
NPI number
1255660205
Active
Practice location
942 Brooklyn Ave
Brooklyn, NY 11203-4002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse | 164W00000X | 289395-1 (NY) |
| Women's Health Nurse Practitioner Primary | 363LW0102X | 421290 (NY) |
Women's Health Nurse Practitioner: Definition to come...
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About NPI 1255660205
Keavern Kirby's National Provider Identifier is 1255660205, issued on Dec 21, 2009. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Brooklyn, NY. The record was last updated on Aug 21, 2017.