Organization · Type 2 NPI
Pamela Kirby PA
Podiatric Clinic/Center · Port Orange, FL
NPI number
1679892996
Active
Practice location
4606 South Clyde Morris Boulevard, Suite 1J
Port Orange, FL 32129
Fax (386) 788-4113
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center | 261QH0100X | None listed |
| Medical Specialty Clinic/Center | 261QM2500X | AP2222 (FL) |
| Podiatric Clinic/Center Primary | 261QP1100X | PO0002581 (FL) |
| Podiatric Clinic/Center | 261QP1100X | PO3308 (FL) |
| Podiatric Clinic/Center | 261QP1100X | PO2796 (FL) |
| Physical Therapy Clinic/Center | 261QP2000X | PT17909 (FL) |
Podiatric Clinic/Center: Definition to come...
Other podiatric clinic/center providers in Port Orange
About NPI 1679892996
Pamela Kirby PA's National Provider Identifier is 1679892996, issued on May 26, 2010. The primary taxonomy on file is Podiatric Clinic/Center (261QP1100X), and the practice location is in Port Orange, FL. The record was last updated on May 26, 2010.