Kirk, Chassity

Kirk, Chassity is an individual health care provider with primary practice located at 1 Wildcat Way , Logan WV 25601-3474. 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, Chassity can be contacted via phone (304) 824-5806.

Contact Information

Primary practice address
1 Wildcat Way Logan WV 25601-3474
Phone: (304) 824-5806
Fax: (304) 824-5804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 76003 West Virginia

Profile Details

NPI number 1871977140
LBN Legal business name Kirk, Chassity
Credentials APRN-FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2015
Last updated Dec 30th, 2016 - about 8 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 1871977140 NPPES
West Virginia MEDICAID 3810029997

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