# PATRICK G. KIRK, M.D., INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639380637
- **Authorized official:** JANE BOSSE (PRAC MGR)
- **Authorized official phone:** (513) 791-5200

## Contact information

- **Practice address:** 4760 E GALBRAITH RD, \#109, CINCINNATI, OH 45236-6703
- **Practice address phone:** (513) 791-5200
- **Practice address fax:** (513) 791-5229
- **Mailing address:** 4760 E GALBRAITH RD, \#109, CINCINNATI, OH 45236-6703
- **Mailing address phone:** (513) 791-5200
- **Mailing address fax:** (513) 791-5229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 2002001121 | OH | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 08/22/2020