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Individual

NICOLE KIRK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
9000 FRANKLIN SQUARE DR, BALTIMORE, MD 21237-3901
(410) 682-7046
Mailing address
1000 RIVER RD, SUITE 100, CONSHOHOCKEN, PA 19428-2439
(800) 355-3818
(610) 834-2862

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003142
MD

Other

Enumeration date
05/28/2006
Last updated
07/08/2007
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