Individual
LEWIS KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
26731 W POINT MACKENZIE RD, WASILLA, AK 99623-8709
(907) 376-4534
Mailing address
26731 W POINT MACKENZIE RD, WASILLA, AK 99623-8709
(907) 376-4534
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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