Carly Kirby, INC.
Clinic/Center in Longmont, CO. Organization (NPI-2).
NPI number1578807889
StatusActive
Last updated in NPPESNov 27, 2012
Details
- NPI
- 1578807889
- Entity type
- Organization (NPI-2)
- Legal business name
- Carly Kirby, INC.
- Organization subpart
- No
- Enumeration date
- Nov 27, 2012
- Last updated
- Nov 27, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 1182 | CO | Yes |
Practice location
1551 Professional Ln Unit 220Longmont, CO 80501-6964
Phone 303-772-9660 · Fax 303-772-9259
Mailing address
11720 Montgomery CirLongmont, CO 80504-5209
Phone 720-301-9705
Authorized official
Carly Kirby
Owner
7203019705
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