Provider Demographics
NPI:1285396325
Name:ROBBINS, KIRBY (PA-C, MSC)
Entity type:Individual
Prefix:
First Name:KIRBY
Middle Name:
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:PA-C, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1912 EASTCHESTER DR
Mailing Address - Street 2:SUITE 302
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265
Mailing Address - Country:US
Mailing Address - Phone:336-438-2260
Mailing Address - Fax:
Practice Address - Street 1:5718 W GATE CITY BLVD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-7039
Practice Address - Country:US
Practice Address - Phone:336-738-1691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-06
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-11705363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant