Individual
KALVIN KIRKSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 323-0174
(706) 256-3264
Mailing address
5705 MILL BRANCH RD, COLUMBUS, GA 31907-4618
(706) 569-9299
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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