Individual provider · NPI-1

Kursula Kirby, Kursula Kirby, MPH

Nutritionist, Nutrition, Education · Lakeland, FL

NPI number1760873079
StatusActive
Last updated in NPPESFeb 12, 2026

Details

NPI
1760873079
Entity type
Individual (NPI-1)
Name
Miss Kursula Kirby
Credential
Kursula Kirby, MPH
Sex
Female
Sole proprietor
No
Enumeration date
Feb 9, 2015
Certification date
Oct 17, 2023
Last updated
Feb 12, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133NN1002X Nutritionist, Nutrition, Education––Yes
171400000X Health & Wellness Coach––
171M00000X Case Manager/Care Coordinator––
172V00000X Community Health Worker––
174H00000X Health Educator––
224P00000X Prosthetist––
372500000X Chore Provider––
372600000X Adult CompanionCNA488504FL
374U00000X Home Health Aide––
376K00000X Nurse's Aide––

Practice location

122 E Main St # 111
Lakeland, FL 33801-4655

Phone 813-703-0533

Mailing address

1500 W Highland St Lot 227
Lakeland, FL 33815-4293

Phone 863-617-2314

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