Individual ProviderTara M KirbyRegistered NurseNursing Service ProvidersPractice Address3180 Thomasina Mcpherson Blvd, North Charleston, SC 29405-8283(843) 745-2184PECOS EnrollmentBased on the most recent information from CMS, provider Tara M Kirby does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:07 PM.Profile DetailsProvider ID1790350106Provider TypeIndividualFull NameKirby, Tara MTitleMs.CredentialRNGenderFemaleSole ProprietorYesEnumeration Date5/26/2021Last Updated5/26/2021Contact InformationPractice LocationPractice Address3180 Thomasina Mcpherson Blvd, North Charleston, SC 29405-8283Phone(843) 745-2184Fax(843) 745-2182Mailing LocationMailing Address3180 Thomasina Mcpherson Blvd, North Charleston, SC 29405-8283Phone(843) 745-2184Fax(843) 745-2182Provider TaxonomiesCodeDescriptionLicenseCode163WS0200XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense233691South Carolina