Kirk, Amanda J

Kirk, Amanda J is an individual health care provider with primary practice located at 430 Neal St , Cookeville TN 38501-0916. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kirk, Amanda J can be contacted via phone (931) 528-6411.

Contact Information

Primary practice address
430 Neal St Cookeville TN 38501-0916
Phone: (931) 528-6411
Fax: (931) 372-0380
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2944 Tennessee

Profile Details

NPI number 1477860708
LBN Legal business name Kirk, Amanda J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2010
Last updated Oct 11th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477860708 NPPES
Tennessee Other 4301195 BC-BS

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