Kirk, John

Kirk, John is an individual health care provider with primary practice located at 800 Oak St , Farmville VA 23901-1199. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Kirk, John can be contacted via phone (434) 392-8811.

Contact Information

Primary practice address
800 Oak St Farmville VA 23901-1199
Phone: (434) 392-8811
Fax: (434) 315-2463
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0024165496 Virginia

Profile Details

NPI number 1790880730
LBN Legal business name Kirk, John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Jul 8th, 2007 - about 18 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 1790880730 NPPES
Virginia Other 0024165496 LICENSE

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