Kirk, Michael D

Kirk, Michael D is an individual health care provider with primary practice located at 455 Woodview Rd Ste 100 , West Grove PA 19390-9314. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kirk, Michael D can be contacted via phone (610) 345-1900.

Contact Information

Primary practice address
455 Woodview Rd Ste 100 West Grove PA 19390-9314
Phone: (610) 345-1900
Fax: (610) 345-1901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD044838E Pennsylvania

Profile Details

NPI number 1073553251
LBN Legal business name Kirk, Michael D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Aug 13th, 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 1073553251 NPPES
West Virginia Other 080040186 RR MEDICARE
West Virginia MEDICAID 0053361000 RR MEDICARE
West Virginia Other 5304114 RR MEDICARE
West Virginia Other 000610071 RR MEDICARE

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