Provider Demographics
NPI:1760698146
Name:KIRBY, DEBORAH LYNETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:LYNETTE
Last Name:KIRBY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:506 E CHEVES ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29506-2616
Mailing Address - Country:US
Mailing Address - Phone:336-802-2400
Mailing Address - Fax:336-802-2001
Practice Address - Street 1:1814 WESTCHESTER DRIVE
Practice Address - Street 2:SUITE 401
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-7369
Practice Address - Country:US
Practice Address - Phone:336-802-2080
Practice Address - Fax:336-802-2081
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2017-03-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC404392084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP000654519OtherRR MEDICARE
NC5909322Medicaid
NC5909322Medicaid
31071BMedicare UPIN