Provider Demographics
NPI:1699416586
Name:KIRBY, CARSTEN MICHAEL (DO)
Entity type:Individual
Prefix:DR
First Name:CARSTEN
Middle Name:MICHAEL
Last Name:KIRBY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 FAIRFAX AVE FL 5
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23507-1914
Mailing Address - Country:US
Mailing Address - Phone:757-446-8479
Mailing Address - Fax:
Practice Address - Street 1:130 COLLEY AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-1007
Practice Address - Country:US
Practice Address - Phone:757-388-3881
Practice Address - Fax:757-388-4012
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
VA0102209298207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program