Look up the most recent NPI and PECOS records

Kelly Ryan Kirby

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Kelly Ryan Kirby does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1780887299
Provider Type
Individual
Full Name
Kirby, Kelly Ryan
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
6/11/2007
Last Updated
11/22/2016

Contact Information

Practice Location

725 Welch Rd, Palo Alto, CA 94304-1601

(650) 721-2121

Unlisted Fax

Mailing Location

725 Welch Rd, Palo Alto, CA 94304-1601

(650) 721-2121

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LP0222X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 16560 California
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 16560 California
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 4704221521 Michigan
Code 363LP0200X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 4704221521 Michigan

Kelly Ryan Kirby

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Johnson, Kate Elizabeth

Mariano, Karley

Jenkins, Erin

Piparo, Alyssa Gabrielle

Kiler, Taylor

Obrien, Mackenzie Ann

Burns-James, Michelle Anne

Kosar, Morgan Kailey

Koilparampil, Lesley Anne

Freeman, Alex Lauren