| Stephen W Kirley Md Pa | |
|
2554 Lewisville Clemmons Rd Suite 310 Clemmons NC 27012-8110 | |
| (336) 766-7241 | |
| (336) 766-9143 |
| Full Name | Stephen W Kirley Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2554 Lewisville Clemmons Rd, Clemmons, North Carolina |
| Authorized Official Name and Position | Stephen Walter Kirley (OWNER) |
| Authorized Official Contact | 3367667241 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen W Kirley Md Pa 2554 Lewisville Clemmons Rd Suite 310 Clemmons NC 27012-8110 Ph: (336) 766-7241 | Stephen W Kirley Md Pa 2554 Lewisville Clemmons Rd Suite 310 Clemmons NC 27012-8110 Ph: (336) 766-7241 |
| NPI Number | 1942401484 |
|---|---|
| Provider Enumeration Date | 05/31/2007 |
| Last Update Date | 11/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942401484 | NPI | - | NPPES |
| 8949521 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | C37095 (California) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 20153 (North Carolina) | Primary |
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