Provider Demographics
NPI:1447006242
Name:KIRBY, ROBERT MONROE (DNP, CRNA)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MONROE
Last Name:KIRBY
Suffix:
Gender:M
Credentials:DNP, CRNA
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Other - First Name:
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Mailing Address - Street 1:4881 SUGAR MAPLE DR.
Mailing Address - Street 2:88TH MEDICAL GROUP
Mailing Address - City:WPAFB
Mailing Address - State:OH
Mailing Address - Zip Code:45433
Mailing Address - Country:US
Mailing Address - Phone:601-214-5330
Mailing Address - Fax:
Practice Address - Street 1:88TH MEDICAL GROUP
Practice Address - Street 2:4881 SUGAR MAPLE DRIVE
Practice Address - City:WPAFB
Practice Address - State:OH
Practice Address - Zip Code:45433
Practice Address - Country:US
Practice Address - Phone:513-630-2161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-24
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN36468367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered