Kirk, Patricia A

Kirk, Patricia A is an sole proprietor health care provider with primary practice located at 9486 Highway 412 W , Lexington TN 38351-5713. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is her primary health care specialty. Kirk, Patricia A can be contacted via phone (731) 249-5230.

Contact Information

Primary practice address
9486 Highway 412 W Lexington TN 38351-5713
Phone: (731) 249-5230
Fax: (731) 506-4888
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 717 Arizona
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 687 Tennessee
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 0717 Arizona
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 687 Tennessee

Profile Details

NPI number 1376575969
LBN Legal business name Kirk, Patricia A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2006
Last updated Aug 18th, 2021 - about 3 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 1376575969 NPPES
Tennessee MEDICAID 1525058
Tennessee Other 4204135
Tennessee MEDICAID 922337
Tennessee MEDICAID 31970265
Tennessee MEDICAID 1510039

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