Provider Demographics
NPI:1528021755
Name:KIRBY, WILLIAM C (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:C
Last Name:KIRBY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:8318 ARLINGTON BLVD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-5218
Mailing Address - Country:US
Mailing Address - Phone:703-876-8410
Mailing Address - Fax:703-876-8417
Practice Address - Street 1:8318 ARLINGTON BLVD
Practice Address - Street 2:SUITE 250
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-5218
Practice Address - Country:US
Practice Address - Phone:703-876-8410
Practice Address - Fax:703-876-8417
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2021-07-14
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Provider Licenses
StateLicense IDTaxonomies
MDD340472080P0202X
DCMD106352080P0202X
VA01010398692080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006707092Medicaid
MD311641700Medicaid