Kirk, Lynne Anne Marcum

Kirk, Lynne Anne Marcum is an individual health care provider with primary practice located at 5323 Harry Hines Blvd , Dallas TX 75390-7208. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Kirk, Lynne Anne Marcum can be contacted via phone (214) 645-8600.

Contact Information

Primary practice address
5323 Harry Hines Blvd Dallas TX 75390-7208
Phone: (214) 645-8600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X F6823 Texas
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X F6823 Texas

Profile Details

NPI number 1225097348
LBN Legal business name Kirk, Lynne Anne Marcum
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2006
Last updated May 14th, 2019 - about 5 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 1225097348 NPPES
Texas MEDICAID 118857503

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