Kirk, Raeanna

Kirk, Raeanna is an individual health care provider with primary practice located at 11706 S 700 E , Draper UT 84020-9365. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, which is considered as her primary health care specialty. Kirk, Raeanna can be contacted via phone (801) 963-4200.

Contact Information

Primary practice address
11706 S 700 E Draper UT 84020-9365
Phone: (801) 963-4200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X 3082894-3102 Utah

Profile Details

NPI number 1124096417
LBN Legal business name Kirk, Raeanna
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Jun 8th, 2010 - about 15 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.

Request for update

Popular Providers