Provider Demographics
NPI:1457584575
Name:KIRBY, JANE M (CPM)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:M
Last Name:KIRBY
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 7TH ST E APT 503
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55101-2390
Mailing Address - Country:US
Mailing Address - Phone:651-387-0268
Mailing Address - Fax:
Practice Address - Street 1:211 7TH ST E APT 503
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55101-2390
Practice Address - Country:US
Practice Address - Phone:651-387-0268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-24
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay