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NPI Code Detail

MEDICARE: KARL A KIRBY M.D.

MEDICARE: KARL A KIRBY M.D.
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 Physician01068718AIN
2207Q00000XFamily Medicine Physician036101200IL

General Provider Information

NPI Number : 1760416531
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARL A KIRBY M.D.
Provider Business Mailing Address
First Line : 1 EMBARCADERO CTR STE 1900
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94111-3723
Country : US
Telephone Number : 415-658-6791
Fax Number :
Provider Business Practice Location Address
First Line : 1931 N HALSTED ST
Second Line :
City : CHICAGO
State : IL
Zip : 60614-5008
Country : US
Telephone Number : 888-663-6331
Fax Number : 415-252-7176
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 03/17/2025

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Directions to “ KARL A KIRBY M.D.” Practice Location

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