Provider Demographics
NPI:1881173607
Name:KIRBY, ALAINE C (APRN)
Entity type:Individual
Prefix:MRS
First Name:ALAINE
Middle Name:C
Last Name:KIRBY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:835 SWEITZER ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45331-1007
Mailing Address - Country:US
Mailing Address - Phone:937-548-1141
Mailing Address - Fax:375-696-2979
Practice Address - Street 1:820 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:OH
Practice Address - Zip Code:45331-1206
Practice Address - Country:US
Practice Address - Phone:937-548-5365
Practice Address - Fax:937-548-4456
Is Sole Proprietor?:No
Enumeration Date:2018-08-13
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.023608363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0316591Medicaid