Kenneth Lamont Kirby

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Practice address

839 Chief Eddie Hoffman Hwy
Bethel, AK 99559

Phone

(907) 543-2740

Fax

(907) 543-6729

NPI assigned

Jan 18, 2011

Last updated

Jan 19, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516320000000",
    "number": "1134424427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 528",
            "address_2": "ATTN: BH MALONE HOME PROGRAM",
            "city": "BETHEL",
            "state": "AK",
            "postal_code": "995590528",
            "telephone_number": "907-543-2740",
            "fax_number": "907-543-6729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 CHIEF EDDIE HOFFMAN HWY",
            "city": "BETHEL",
            "state": "AK",
            "postal_code": "99559",
            "telephone_number": "907-543-2740",
            "fax_number": "907-543-6729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "829 CHIEF EDDIE HOFFMAN HWY",
            "address_purpose": "LOCATION",
            "city": "BETHEL",
            "state": "AK",
            "postal_code": "99559",
            "country_code": "US",
            "telephone_number": "907-543-6800",
            "fax_number": "907-543-6159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "KENNETH",
        "middle_name": "LAMONT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-18",
        "last_updated": "2018-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020986",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Kinegak
• Janelle Kinegak
• Janet D King, MSN, RN
• Marvin Kiokun
• Adeline Kirby
• Karlee Nicole Kirkpatrick, DO
• Darline M Kiunya
• Joseph Klejka, MD
• Swyft Orion Knight
• Erin McKee Knowles, PT, DPT

• Day Training/Habilitation Specialist in Bethel, AK
• Providers in Bethel, AK by specialty
• Day Training/Habilitation Specialist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.