Waldron, Kirk Russell

Waldron, Kirk Russell is an individual health care provider with primary practice located at 770 S 200 E Ste 102 , Brigham City UT 84302-3387. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Waldron, Kirk Russell can be contacted via phone (801) 513-9652.

Contact Information

Primary practice address
770 S 200 E Ste 102 Brigham City UT 84302-3387
Phone: (801) 513-9652
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 7301549-8900 Utah

Profile Details

NPI number 1215599105
LBN Legal business name Waldron, Kirk Russell
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2019
Last updated Jul 1st, 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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