Individual
MR. DANIEL PAUL KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
1941 SAVAGE RD, SUITE 400 C, CHARLESTON, SC 29407-4704
(866) 571-2700
(843) 571-2124
Mailing address
4408 GAYNELLE DR, CHARLOTTE, NC 28215-5712
(704) 567-2021
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
867
NC
Other
Enumeration date
02/03/2007
Last updated
07/08/2007
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