KIRBY CARLSON

FORT WAYNE, IN
NPI1942970348
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71011727A)
Enumeration Date2021-09-16
Last Update Date2022-10-17
Business Address
KIRBY CARLSON
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845-1730
Phone number: 260-266-5700
Mailing Address
KIRBY CARLSON
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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