Provider Demographics
NPI:1396599957
Name:KIRUKI, JOYCE W
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:W
Last Name:KIRUKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 STEUBEN CIR
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-4151
Mailing Address - Country:US
Mailing Address - Phone:781-738-5737
Mailing Address - Fax:
Practice Address - Street 1:3 STEUBEN CIR
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-4151
Practice Address - Country:US
Practice Address - Phone:781-738-5737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAS398329113416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport