Individual
KIRK GATLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
19 LAKES ST, COLVILLE SERVICE UNIT, NESPELEM, WA 99155
(509) 634-2913
(509) 634-2946
Mailing address
PO BOX 71, NESPELEM, WA 99155-0071
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
89612
OK
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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