Kirk, Randall Dean

Kirk, Randall Dean is an individual health care provider with primary practice located at 1 Avenue C Ste 102 , Madison WV 25130-1100. He recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as his primary health care specialty. Kirk, Randall Dean can be contacted via phone (304) 369-6400.

Contact Information

Primary practice address
1 Avenue C Ste 102 Madison WV 25130-1100
Phone: (304) 369-6400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1285232850
LBN Legal business name Kirk, Randall Dean
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2020
Last updated Oct 15th, 2020 - about 4 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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