Provider / Organization | NPI | Date Certified |
---|---|---|
RONALD K KIRBY | 1013584325 | 2021-06-06 |
Ronald K Kirby is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1013584325. Registration indicates Ronald K Kirby is a provider of services with a specialization in Other Service Providers, Case Manager/Care Coordinator (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers)
Entity Type | Individual |
Provider Name | Ronald K Kirby Jr. BA |
Practice Office Address | 6210 BASELINE RD LITTLE ROCK, AR US |
Practice Office Telephone | 5012650302 |
Practice Office Fax | 5012650300 |
Mailing Address | 6210 BASELINE RD LITTLE ROCK, AR 722094728 US |
Business Telephone | 5012650302 |
Business Fax | 5012650300 |
Code | Practice | License No State |
---|---|---|
171M00000X PRIMARY | Other Service Providers Case Manager/Care Coordinator Case Manager/Care Coordinator All Other Specialties & Provider Types Case Manager/Care Coordinator Other Service Providers |
AR |
236900526 | MEDICAID | AR |