Individual
BRANDON KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS, PRSS
Contact information
Practice address
859 ALDERSON ST FL 3, WILLIAMSON, WV 25661-3215
(855) 671-2411
Mailing address
22 W 5TH AVE, WILLIAMSON, WV 25661-3202
(304) 687-8911
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
22-907
WV
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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