Provider Demographics
NPI:1841245107
Name:KIRBY, THOMAS M (DIPL AC)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:M
Last Name:KIRBY
Suffix:
Gender:M
Credentials:DIPL AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 E PITKIN ST
Mailing Address - Street 2:
Mailing Address - City:FT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-3817
Mailing Address - Country:US
Mailing Address - Phone:970-482-4787
Mailing Address - Fax:
Practice Address - Street 1:1318 S COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:FT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-4174
Practice Address - Country:US
Practice Address - Phone:970-472-5355
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO383171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist