Shirk, Kim

Shirk, Kim is an sole proprietor health care provider with primary practice located at 410B Se 3Rd St Ste 101 , Lees Summit MO 64063-2842. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Shirk, Kim can be contacted via phone (816) 525-5333.

Contact Information

Primary practice address
410B Se 3Rd St Ste 101 Lees Summit MO 64063-2842
Fax: (816) 525-5334
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2001021092 Missouri

Profile Details

NPI number 1114093176
LBN Legal business name Shirk, Kim
Credentials LPC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2006
Last updated May 6th, 2008 - about 17 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 1114093176 NPPES
Missouri MEDICAID 497517904

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