Individual
MS. KELLY ANN KIRK
Active
Individual
MS. KELLY ANN KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP17712
OH
363LA2100X
Acute Care Nurse Practitioner
COA17712-NP
OH
363LA2100X
Acute Care Nurse Practitioner
RN.359897
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0138175
—
OH
Enumeration date
06/24/2015
Last updated
12/13/2018
Update your record
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