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NPI Code Detail

MEDICARE: STEPHANIE LYNN KIRBY MD

MEDICARE: STEPHANIE LYNN KIRBY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician2023-02640NC
2207Q00000XFamily Medicine Physician0101236864VA
3207Q00000XFamily Medicine Physician21701WV

General Provider Information

NPI Number : 1184615817
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE LYNN KIRBY MD
Provider Business Mailing Address
First Line : 254 PEACEFORD AVE
Second Line :
City : RAEFORD
State : NC
Zip : 28376-5015
Country : US
Telephone Number : 540-533-7080
Fax Number :
Provider Business Practice Location Address
First Line : 103 COUNTRY CLUB DR
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28301-7603
Country : US
Telephone Number : 910-400-7002
Fax Number : 910-408-7675
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 03/11/2026

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