Kirk, Leslie G

Kirk, Leslie G is an individual health care provider with primary practice located at 3945 E Paradise Falls Dr Ste 201, Tucson AZ 85712-6683. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Kirk, Leslie G can be contacted via phone (520) 290-5888.

Contact Information

Primary practice address
3945 E Paradise Falls Dr Ste 201 Tucson AZ 85712-6683
Phone: (520) 290-5888
Fax: (520) 290-5551
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5351 Arizona
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 05351 Arizona

Profile Details

NPI number 1831171115
LBN Legal business name Kirk, Leslie G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Feb 25th, 2013 - about 11 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 1831171115 NPPES
Arizona MEDICAID 201640

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