Provider Demographics
NPI:1811788805
Name:KIRBY, KALEB MICHAEL (DNP APRN FNP-C)
Entity type:Individual
Prefix:MR
First Name:KALEB
Middle Name:MICHAEL
Last Name:KIRBY
Suffix:
Gender:M
Credentials:DNP APRN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3819 SILVER BLVD
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-6970
Mailing Address - Country:US
Mailing Address - Phone:701-833-5704
Mailing Address - Fax:
Practice Address - Street 1:3819 SILVER BLVD
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-6970
Practice Address - Country:US
Practice Address - Phone:701-833-5704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171000000X
ND202402363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No171000000XOther Service ProvidersMilitary Health Care Provider