KIRBY NALUCK KHOONSRIVONG
NPI 1265679591
Counselor - Addiction (Substance Use Disorder) in Stockton, CA

Q: What is Kirby Khoonsrivong's NPI number?

The NPI number for Kirby Khoonsrivong is 1265679591. It was assigned to this individual provider in the NPPES registry on January 8, 2009.

Q: What is Kirby Khoonsrivong's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Active since January 08, 2009

10309 BIG OAK CIR, STOCKTON, CA 95209(209) 513-2680 Get Directions Write a Review

NPPES record last updated: January 8, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kirby Naluck Khoonsrivong NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIRBY NALUCK KHOONSRIVONG (NPI 1265679591) is an individual addiction (substance use disorder) provider in Stockton, California and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1265679591

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameKIRBY NALUCK KHOONSRIVONG

Location Address10309 BIG OAK CIRStockton, CA 95209-4560

Mailing Address10309 Big Oak CirStockton, CA 95209-4560 · (209) 513-2680

Phone(209) 513-2680

Sole ProprietorYes

Enumeration DateJanuary 8, 2009

✔ NPI 1265679591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

10309 BIG OAK CIR, Stockton, CA 95209

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kirby Khoonsrivong's NPI number?

The NPI number for Kirby Khoonsrivong is 1265679591. It was assigned to this individual provider in the NPPES registry on January 8, 2009.

Where is Kirby Khoonsrivong located?

Kirby Khoonsrivong practices at 10309 Big Oak Cir, Stockton, CA 95209. The listed phone number is (209) 513-2680.

What is Kirby Khoonsrivong's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kirby Khoonsrivong was last updated on January 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.