Kirk, Kristina Jill

Kirk, Kristina Jill is an individual health care provider with primary practice located at 1 Childrens Plz , Dayton OH 45404-1815. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Kirk, Kristina Jill can be contacted via phone (937) 641-3600.

Contact Information

Primary practice address
1 Childrens Plz Dayton OH 45404-1815
Fax: (937) 641-5802
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 35.084436 Ohio

Profile Details

NPI number 1093929275
LBN Legal business name Kirk, Kristina Jill
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Oct 13th, 2023 - about 2 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 1093929275 NPPES
Ohio MEDICAID 2748263

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