Kirk, Angela Diane

Kirk, Angela Diane is an individual health care provider with primary practice located at 825 Eastlake Ave E , Seattle WA 98109-4405. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Kirk, Angela Diane can be contacted via phone (206) 288-1000.

Contact Information

Primary practice address
825 Eastlake Ave E Seattle WA 98109-4405
Phone: (206) 288-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA03137 Texas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA60302788 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 12458139-1206 Utah

Profile Details

NPI number 1144289265
LBN Legal business name Kirk, Angela Diane
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2006
Last updated Dec 20th, 2021 - about 4 years ago

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 1144289265 NPPES
Texas MEDICAID 135814505
Texas MEDICAID 1144289265

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