Kim Kirby, NP

Individual provider Active NPI Family Nurse Practitioner · Epping, NH

NPI 1164584785 · NPPES record last updated Jul 17, 2019

Key facts

NPI
1164584785
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
035757-23 (NH)
Practice address
212 Calef Hwy
Epping, NH 03042-2322
Phone
(603) 693-2100
Fax
(603) 679-1046
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
168256MAMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 168256 MA
Family Nurse Practitioner 363LF0000X 035757-23 NH Yes

Addresses

Primary practice location

212 Calef Hwy
Epping, NH 03042-2322

Mailing address

7 Holland Way FL 1
Exeter, NH 03833-2997
Phone (603) 693-2100

Other identifiers

IdentifierTypeStateIssuer
3076262MedicaidNH

Other providers in Epping, NH

All providers in Epping, NH · Family Nurse Practitioner in New Hampshire

Sources for this page

Verify at the official NPI Registry.