Kirby, Ian William
Kirby, Ian William is an individual health care provider with primary practice located at 22675 Alessandro Blvd , Moreno Valley CA 92553-8551. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Kirby, Ian William can be contacted via phone (951) 571-2300.Contact Information
Primary practice address
22675 Alessandro Blvd
Moreno Valley CA 92553-8551
Phone: (951) 571-2300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 351409 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 351409 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95010787 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 95010787 | California |
Profile Details
| NPI number | 1639633084 |
|---|---|
| LBN Legal business name | Kirby, Ian William |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2019 |
| Last updated | Apr 20th, 2026 - about 6 months 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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