Derby, Kira Maria

Derby, Kira Maria is an individual health care provider with primary practice located at 6810 Teagle Ln , Gloucester VA 23061-5386. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Derby, Kira Maria can be contacted via phone (804) 210-1104.

Contact Information

Primary practice address
6810 Teagle Ln Gloucester VA 23061-5386
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024180085 Virginia

Profile Details

NPI number 1518568021
LBN Legal business name Derby, Kira Maria
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2020
Last updated Nov 3rd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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