Provider Demographics
NPI:1528559085
Name:KIRBY, KATHERINE DALE (DO)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:DALE
Last Name:KIRBY
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:1675 LEAHY ST STE 428B
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49442-5500
Mailing Address - Country:US
Mailing Address - Phone:931-561-6992
Mailing Address - Fax:
Practice Address - Street 1:1675 LEAHY ST STE 428B
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49442-5500
Practice Address - Country:US
Practice Address - Phone:231-672-3300
Practice Address - Fax:231-672-3380
Is Sole Proprietor?:No
Enumeration Date:2018-05-21
Last Update Date:2023-01-09
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Provider Licenses
StateLicense IDTaxonomies
MI5101023971207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology