Kirk, Celesta V

Kirk, Celesta V is an individual health care provider with primary practice located at 1497 W Elk Ave Suite 11, Elizabethton TN 37643-2895. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kirk, Celesta V can be contacted via phone (423) 542-8929.

Contact Information

Primary practice address
1497 W Elk Ave Suite 11 Elizabethton TN 37643-2895
Phone: (423) 542-8929
Fax: (423) 542-8621
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN05038 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024169706 Virginia

Profile Details

NPI number 1912963026
LBN Legal business name Kirk, Celesta V
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Mar 14th, 2017 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912963026 NPPES
Tennessee MEDICAID 1507262
Tennessee Other P01227719
Tennessee MEDICAID 1912963026

Popular Providers