Jamie Ellen Kirby in Tyler - Family Medicine
Jamie Ellen Kirby - NPI 1699813378
Jamie Ellen Kirby is a Family Medicine in Tyler, Texas. Jamie Ellen Kirby practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jamie Ellen Kirby is 1699813378. The last update date is 2023-10-03.
Jamie Ellen Kirby's current location address is 5414 S Broadway Ave, Tyler, Texas. You can contact this provider via phone number 9035811601. The mailing address for Jamie Ellen Kirby is 5414 S Broadway Ave, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jamie Ellen Kirby |
|---|---|
| Address | 5414 S Broadway Ave, Tyler, Texas |
| Phone Number | 9035811601 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1699813378 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2023-10-03 |
Provider Mailing Address Detail
| Address | 5414 S Broadway Ave |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 7570313350 |
| Phone Number | 9035811601 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 433607 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 302017403 | TX | -- | |
| 8EZ110 | TX | BCBS | |
| 75-1976930-005 | TX | TRICARE | |
| 750818167002 | TX | TRICARE | |
| P01876970 | TX | MEDICARE RAIL ROAD | |
| 8DG764 | TX | BCBS | |
| 8EZ029 | TX | BCBS | |
| 00T71U | TX | BCBS BLUE | |
| 297758YS6V | TX | MEDICARE | |
| 75-2616977-028 | TX | TRICARE |
Post Comment/ Review Below
What is the Jamie Ellen Kirby's unique identification number?
The Jamie Ellen Kirby has been assigned the NPI (National Provider Identifier) Number 1699813378 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Jamie Ellen Kirby is located?
The Jamie Ellen Kirby is situated at the following address: 5414 S Broadway Ave, Tyler, TX, 7570313350.
What is Jamie Ellen Kirby's area of expertise and its corresponding taxonomy classification?
The Jamie Ellen Kirby's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
When did the Jamie Ellen Kirby receive its 1699813378?
The Jamie Ellen Kirby was issued its 1699813378 on 2007-02-02, which is the date when the organization was assigned this unique identifier.
When was the information related to Jamie Ellen Kirby most recently updated or refreshed?
The details pertaining to the Jamie Ellen Kirby, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-10-03.
NPI Number: 1720081763
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