Individual
MS. KRISTY KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
804 INDUSTRIAL PARK RD, MAXWELTON, WV 24957-8066
(304) 497-0500
(304) 497-0516
Mailing address
804 INDUSTRIAL PARK RD, MAXWELTON, WV 24957-8066
(304) 497-0500
(304) 497-0516
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
2084P0800X
Psychiatry Physician
2084P0800X
WV
Other
Enumeration date
12/04/2023
Last updated
03/19/2024
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