Dale Anthony Kirby

Individual provider Home Modifications Contractor · NPI 1063500700

Dale Anthony Kirby is a Home Modifications Contractor in Fayetteville, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in: OH
In the registry since: 2006

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Practice location Address checks out

62 Anderson State Rd
Fayetteville, OH 45118 Not confirmed with CMS for 19 years — call before visiting
Phone: (937) 205-2337
Fax: (513) 875-2811

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Modifications Contractor (primary)	Taxonomy 171WH0202X · Licence 2291023 (OH)

Record details

NPI number	1063500700
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	October 10, 2006
Last updated in NPPES	July 9, 2007