Provider Demographics
NPI:1750464657
Name:KIRBY, DANIEL ALLEN (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ALLEN
Last Name:KIRBY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 CASS ST STE 202
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4533
Mailing Address - Country:US
Mailing Address - Phone:831-643-9012
Mailing Address - Fax:831-643-9010
Practice Address - Street 1:1011 CASS ST STE 202
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4533
Practice Address - Country:US
Practice Address - Phone:831-643-9012
Practice Address - Fax:831-643-9010
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2013-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC217310111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU49475Medicare UPIN
DC0217310Medicare ID - Type Unspecified