Jacob David Kirby
Nutritionist in Semmes, AL. Individual provider (NPI-1).
NPI number1316645252
StatusActive
Last updated in NPPESFeb 20, 2023
Details
- NPI
- 1316645252
- Entity type
- Individual (NPI-1)
- Name
- Jacob David Kirby
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 20, 2023
- Certification date
- Feb 20, 2023
- Last updated
- Feb 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133N00000X | Nutritionist | – | AL | Yes |
Practice location
11285 Cricket HolwSemmes, AL 36575-6626
Phone 251-680-0090
Mailing address
11285 Cricket HolwSemmes, AL 36575-6626
Phone 251-680-0090
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