Kirby Pool, LPN
Individual provider Active NPI Licensed Practical Nurse · Melbourne, AR
NPI 1932606563 · NPPES record last updated Apr 10, 2018
Key facts
- NPI
- 1932606563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- L055449 (AR)
- Practice address
- 889 Main St
Melbourne, AR 72556-8205 - Phone
- (870) 368-4586
- Fax
- (870) 368-4587
- NPI assigned
- Apr 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L055449 | AR | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L055449 | AR | Yes |
Addresses
Primary practice location
889 Main St
Melbourne, AR 72556-8205
Mailing address
PO Box 967
Melbourne, AR 72556-0967
Phone (870) 368-4586
Other providers in Melbourne, AR
- Ozark Adult Personal Care LLC
- Performa Rehab Services, LLC
- Casey Peters
- Amanda Kay Pittman
- PNRC, Inc.
- Hannah Powell
- Patricia Powers
- Progressive Eye Center of Melbourne, LLC
- Prospering Hope Counseling PLLC
- Racheal Rains
All providers in Melbourne, AR · Licensed Practical Nurse in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.