Individual
MRS. KIMBERLY R SIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
9120 CONNECTICUT ST STE A, MERRILLVILLE, IN 46410-7015
(219) 793-1233
(219) 793-1244
Mailing address
9120 CONNECTICUT ST STE A, MERRILLVILLE, IN 46410-7015
(219) 793-1233
(219) 793-1244
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71004015A
IN
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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