Individual
KENNETH ANDREW KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19415 DEERFIELD AVE STE 316, LANSDOWNE, VA 20176-8472
(571) 831-0999
Mailing address
43114 HUNTSMAN SQ, BROADLANDS, VA 20148-5091
(703) 405-4315
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/26/2025
Last updated
04/26/2025
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