Kirk, Lisa Carol

Kirk, Lisa Carol is an sole proprietor health care provider with primary practice located at 350 E Economy Rd , Morristown TN 37814-3327. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kirk, Lisa Carol can be contacted via phone (423) 318-6093.

Contact Information

Primary practice address
350 E Economy Rd Morristown TN 37814-3327
Phone: (423) 318-6093
Fax: (423) 318-9326
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN6552 Tennessee

Profile Details

NPI number 1942314539
LBN Legal business name Kirk, Lisa Carol
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1942314539 NPPES
Tennessee MEDICAID 3906306

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