SearchUtah103TS0200X

Matthew Kirby, M.S., ED.S

NPI 1588200752 · on the registry since 2019

Practice

Address
415 Medical Dr Ste D101
Bountiful, UT 84010
Phone
(801) 683-1062
Fax
(801) 295-5537
Organisation at this address
Luekenga Way, Llc
Squire Boys, Inc.
Restore Counseling
Joe R Nielsen Md Pc
Gulso Podiatry, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
403

Registry record

Primary taxonomy
103TS0200X
103TS0200X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-11-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah