Individual
JOHN AARON KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5825 PLANK RD, FREDERICKSBURG, VA 22407-5207
(540) 785-3448
Mailing address
549 GRAPHITE TRL, CHESAPEAKE, VA 23320-3439
(910) 813-3876
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-00517
NC
363A00000X
Physician Assistant
0110840725
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-00517
LICENSEE
NC
01
—
0110840725
LICENSSE
VA
01
—
P00419382
RAILROAD MEDICARE
NC
Enumeration date
02/16/2006
Last updated
03/07/2023
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