Provider Demographics
NPI:1215003207
Name:KIRBY, PATRICIA O (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:O
Last Name:KIRBY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:21448 N 75TH AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-5978
Mailing Address - Country:US
Mailing Address - Phone:623-341-3714
Mailing Address - Fax:623-236-2050
Practice Address - Street 1:21448 N 75TH AVE STE 6
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-5978
Practice Address - Country:US
Practice Address - Phone:623-251-6926
Practice Address - Fax:877-803-8703
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2020-09-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ256782084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0740760OtherBCBS OF AZ