Provider Demographics
NPI:1265157788
Name:KIRBY, M'KAYLEE ANN (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:M'KAYLEE
Middle Name:ANN
Last Name:KIRBY
Suffix:
Gender:
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 99
Mailing Address - Street 2:
Mailing Address - City:KINSLEY
Mailing Address - State:KS
Mailing Address - Zip Code:67547-0099
Mailing Address - Country:US
Mailing Address - Phone:620-659-3621
Mailing Address - Fax:620-659-3869
Practice Address - Street 1:920 E 1ST ST
Practice Address - Street 2:
Practice Address - City:PRATT
Practice Address - State:KS
Practice Address - Zip Code:67124-2052
Practice Address - Country:US
Practice Address - Phone:620-770-8181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-06
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS137500363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily