Individual
CORY R KIRKSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.N.
Contact information
Practice address
221 RYE BEACH RD APT 1B, HURON, OH 44839-1187
(440) 447-7041
Mailing address
221 RYE BEACH RD APT 1B, HURON, OH 44839-1187
(440) 447-7041
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.149378-M-IV
OH
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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