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Individual
KENNETH ROBERT KIRK
Active
Individual
KENNETH ROBERT KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T, N.D.
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
000417
CT
225100000X
Physical Therapist
Primary
005244
CT
Other
Enumeration date
10/24/2007
Last updated
02/10/2012
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