Individual
KIRK PETRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
808 WIGGINGTON RD STE E, LYNCHBURG, VA 24502-5155
(434) 385-4001
(434) 385-1003
Mailing address
808 WIGGINGTON RD STE E, LYNCHBURG, VA 24502-5155
(434) 385-4001
(434) 385-1003
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
0117003639
VA
2279H0200X
Home Health Registered Respiratory Therapist
0117003639
VA
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
Primary
0117003639
VA
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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