Individual
LISA J KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1935 W MAIN ST, SALEM, VA 24153-3109
(540) 387-0441
(540) 389-7868
Mailing address
1935 W MAIN ST, SALEM, VA 24153-3109
(540) 387-0441
(540) 389-7868
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024140266
VA
Other
Enumeration date
08/15/2006
Last updated
07/09/2007
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