Healthcare Provider Details

I. General information

NPI: 1013956697
Provider Name (Legal Business Name): DALE SCOTT KIRBY JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: D. SCOTT KIRBY JR. MD

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 07/16/2024
Certification Date: 07/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3980 COLONNADE PKWY
BIRMINGHAM AL
35243-2382
US

IV. Provider business mailing address

PO BOX 11407
BIRMINGHAM AL
35202-1407
US

V. Phone/Fax

Practice location:
  • Phone: 205-510-5000
  • Fax: 205-599-6333
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number00019224
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number00019224
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: