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NPI Code Detail

MEDICARE: DR. KAREN C KIRBY D.D.S.

MEDICARE: DR. KAREN C KIRBY D.D.S.
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
1122300000XDentist30020443OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609929777
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAREN C KIRBY D.D.S.
Provider Business Mailing Address
First Line : 13301 MILES AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44105-5521
Country : US
Telephone Number : 216-751-3100
Fax Number : 216-231-2480
Provider Business Practice Location Address
First Line : 1800 LIVINGSTON AVE
Second Line :
City : LORAIN
State : OH
Zip : 44052-3781
Country : US
Telephone Number : 440-233-0100
Fax Number : 440-233-2400
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2007
Last Update Date : 11/08/2011

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