Kirk, Henry Alden

Kirk, Henry Alden is an individual health care provider with primary practice located at 2169 S Lamar Blvd , Oxford MS 38655-5223. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Kirk, Henry Alden can be contacted via phone (662) 234-1530.

Contact Information

Primary practice address
2169 S Lamar Blvd Oxford MS 38655-5223
Fax: (662) 236-0028
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 19374 Mississippi
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 19374 Mississippi
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 19374 Mississippi

Profile Details

NPI number 1629291919
LBN Legal business name Kirk, Henry Alden
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2007
Last updated May 27th, 2008 - about 16 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 1629291919 NPPES
Mississippi MEDICAID 02125899

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