Active NPI
Debra Lavonne Kirksey, MFTA
- Marriage & Family Therapist
- Fort Knox, KY
National Provider Identifier
1023380987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 11-09
- Practice address
- 289 Ireland Ave
Fort Knox, KY 40121-5111 - Phone
- (502) 624-9942
- Fax
- (502) 624-0252
- NPI assigned
- Feb 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 11-09 | KY | Primary |
Addresses
Primary practice location
289 Ireland Ave
Fort Knox, KY 40121-5111
Mailing address
289 Ireland Ave
Fort Knox, KY 40121-5111
Phone (502) 624-9942
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-09 | KY | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328572800000",
"number": "1023380987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "289 IRELAND AVE",
"city": "FORT KNOX",
"state": "KY",
"postal_code": "401215111",
"telephone_number": "502-624-9942",
"fax_number": "502-624-0252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "289 IRELAND AVE",
"city": "FORT KNOX",
"state": "KY",
"postal_code": "401215111",
"telephone_number": "502-624-9942",
"fax_number": "502-624-0252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKSEY",
"first_name": "DEBRA",
"middle_name": "LAVONNE",
"name_prefix": "Dr.",
"credential": "MFTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-07",
"last_updated": "2012-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KY",
"license": "11-09",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Knox, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.