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LISA R KIRBY CRNA
>> Nurse Anesthetist, Certified Registered >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1407807951
Individual Registrant: LISA R KIRBY CRNA
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
3010 AARON WAY HOKES BLUFF, AL 35903-7384 US
Tel: 256-492-9670 Fax: --
Tel: 256-492-9670 Fax: --
Contact information for business:
3010 AARON WAY HOKES BLUFF, AL 35903-7384 US
Tel: 256-492-9670 Fax: --
Tel: 256-492-9670 Fax: --
Registration Information:
NPI: 1407807951
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 367500000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Anesthetist, Certified Registered | AL | 1-039822 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BLUE SHIELD | 51525880 | AL | 01 |
| 051525880 | AL | 05 |
