IndividualActive
Dale Kirby
NPI 1063500700 · Home Modifications Contractor · Fayetteville, OH
Provider details
- NPI number
- 1063500700
- Entity type
- Individual
- Primary specialty
- Home Modifications ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2291023 (OH)
Specialties & taxonomies
Other Service Providers
Practice location
62 Anderson State Road
Fayetteville, OH 45118
Phone: (937) 205-2337
Fax: (513) 875-2811
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 141
Fayetteville, OH 45118-0141
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.