# DR. KRISTINE K VAN KIRK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1003078148
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 9074A | WY | Yes |
| 2083B0002X | Obesity Medicine (Preventive Medicine) Physician | 9074A | WY | — |

## Other

- **Enumeration date:** 06/30/2008
- **Last updated:** 01/03/2019