Provider Demographics
NPI:1962686923
Name:KILBY, MIRANDA B (FNP)
Entity Type:Individual
Prefix:
First Name:MIRANDA
Middle Name:B
Last Name:KILBY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
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Mailing Address - Street 1:1019 N LAFAYETTE ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28150-3746
Mailing Address - Country:US
Mailing Address - Phone:704-487-9766
Mailing Address - Fax:704-487-9891
Practice Address - Street 1:734 CHERRYVILLE RD
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-3625
Practice Address - Country:US
Practice Address - Phone:704-214-2487
Practice Address - Fax:866-362-8414
Is Sole Proprietor?:No
Enumeration Date:2007-12-26
Last Update Date:2023-07-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC5003849207RN0300X, 363L00000X
NC005003849363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner