Individual
SYDNEY ELYSE KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
96 JONATHAN LUCAS ST, CHARLESTON, SC 29425-8900
(864) 792-7700
Mailing address
96 JONATHAN LUCAS ST, CHARLESTON, SC 29425-8900
(864) 792-7700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/31/2024
Last updated
12/18/2024
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