Individual
DENISE KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
338 NICOLE CT, PEWAUKEE, WI 53072-2599
(414) 366-4562
Mailing address
338 NICOLE CT, PEWAUKEE, WI 53072-2599
(414) 366-4562
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
3077-28
WI
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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