Provider Demographics
NPI:1134141260
Name:GABRYS, KIRBY D (MD)
Entity Type:Individual
Prefix:DR
First Name:KIRBY
Middle Name:D
Last Name:GABRYS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5981 JEFFERSON ST NE STE A
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-3457
Mailing Address - Country:US
Mailing Address - Phone:505-370-9600
Mailing Address - Fax:505-355-0566
Practice Address - Street 1:5981 JEFFERSON ST NE STE A
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-3457
Practice Address - Country:US
Practice Address - Phone:505-370-9600
Practice Address - Fax:505-355-0566
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM94-249207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM26195Medicaid
NM26195Medicaid
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