Individual
DR. KYLE CLAYTON KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MSD
Contact information
Practice address
4420 106TH ST SW, MUKILTEO, WA 98275-4700
(253) 417-8274
Mailing address
2517 SIR BARTON WAY # 200, LEXINGTON, KY 40509-2275
(859) 543-2456
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10153
KY
390200000X
Student in an Organized Health Care Education/Training Program
DE60647135
WA
Other
Enumeration date
04/14/2016
Last updated
08/11/2022
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