Individual
MRS. ELIZABETH ANN KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8060 COUNTS MASSIE RD INTEGRATED CARE PROFESSIONALS, MAUMELLE, AR 72113-6657
(479) 968-8279
(479) 250-0500
Mailing address
8060 COUNTS MASSIE RD INTEGRATED CARE PROFESSIONALS, MAUMELLE, AR 72113-6657
(479) 968-8279
(479) 250-0500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
S001061
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5W668
AR BLUECROSS BLUESHIELDE
AR
Enumeration date
07/06/2006
Last updated
04/15/2019
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