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NPI Code Detail

MEDICARE: SUSAN MICHELLE KIRBY

MEDICARE:   SUSAN MICHELLE KIRBY
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
1101YM0800XMental Health Counselor2020009376MO

General Provider Information

NPI Number : 1831777531
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN MICHELLE KIRBY
Provider Business Mailing Address
First Line : 4200 N CLEVELAND AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64117-1731
Country : US
Telephone Number : 913-579-0155
Fax Number :
Provider Business Practice Location Address
First Line : 8350 N SAINT CLAIR AVE STE 275
Second Line :
City : KANSAS CITY
State : MO
Zip : 64151-5114
Country : US
Telephone Number : 913-257-3161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2021
Last Update Date : 11/03/2022

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Directions to “ SUSAN MICHELLE KIRBY ” Practice Location

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