Provider Demographics
NPI:1487060521
Name:KIRBY, KONTINA
Entity type:Individual
Prefix:
First Name:KONTINA
Middle Name:
Last Name:KIRBY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 SPRINGWOOD PL
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-6801
Mailing Address - Country:US
Mailing Address - Phone:757-534-8606
Mailing Address - Fax:888-627-0686
Practice Address - Street 1:14 SPRINGWOOD PL
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-6801
Practice Address - Country:US
Practice Address - Phone:757-534-8606
Practice Address - Fax:888-627-0686
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-09
Last Update Date:2018-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No171M00000XOther Service ProvidersCase Manager/Care Coordinator