Provider Demographics
NPI:1023000635
Name:KIRBY, KARI (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:KARI
Middle Name:
Last Name:KIRBY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:DEVANEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:94 MEDICAL CIR
Mailing Address - Street 2:
Mailing Address - City:MOULTON
Mailing Address - State:AL
Mailing Address - Zip Code:35650-1256
Mailing Address - Country:US
Mailing Address - Phone:256-974-9216
Mailing Address - Fax:
Practice Address - Street 1:94 MEDICAL CIR
Practice Address - Street 2:
Practice Address - City:MOULTON
Practice Address - State:AL
Practice Address - Zip Code:35650-1256
Practice Address - Country:US
Practice Address - Phone:256-974-9216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-057646363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1326373861OtherGROUP NPI