Healthcare Provider Details

I. General information

NPI: 1447070271
Provider Name (Legal Business Name): CHRISTOPHER KENDALL KIRBY MS, RRT-SDS, CPFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2024
Last Update Date: 10/28/2024
Certification Date: 10/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 ALAMEDA
REDWOOD CITY CA
94062-2751
US

IV. Provider business mailing address

170 ALAMEDA DE LAS PULGAS
REDWOOD CITY CA
94062-2751
US

V. Phone/Fax

Practice location:
  • Phone: 650-367-5636
  • Fax:
Mailing address:
  • Phone: 650-367-5636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2278C0205X
TaxonomyCritical Care Certified Respiratory Therapist
License Number44038
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: