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Individual
MICHAEL D KIRK
Active
Individual
MICHAEL D KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD044838E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000610071
MS BCBS
WV
05
—
0053361000
—
WV
01
—
080040186
RR MEDICARE
WV
01
—
5304114
AETNA
WV
Enumeration date
06/07/2006
Last updated
08/13/2019
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