Kirk, Kenneth

Kirk, Kenneth is an individual health care provider with primary practice located at 3501 E Osborn Rd , Phoenix AZ 85018-5767. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Kirk, Kenneth can be contacted via phone (602) 381-6152.

Contact Information

Primary practice address
3501 E Osborn Rd Phoenix AZ 85018-5767
Phone: (602) 381-6152
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X Arizona

Profile Details

NPI number 1982750865
LBN Legal business name Kirk, Kenneth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Jul 8th, 2007 - about 17 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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