Individual
KIRK ROBERT HASENMUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
61 BURLINGTON DR, CLARKSVILLE, VA 23927-3235
(434) 374-2773
(434) 374-4202
Mailing address
61 BURLINGTON DR, CLARKSVILLE, VA 23927-3235
(434) 374-2773
(434) 374-4202
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101258374
VA
207Q00000X
Family Medicine Physician
9600276
NC
Other
Enumeration date
07/12/2006
Last updated
10/06/2017
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