Individual
DR. JOHN MARK KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1315 13TH AVE SE, DECATUR, AL 35601-4308
(256) 260-7306
(256) 350-1661
Mailing address
2241 THORNTON TAYLOR PKWY, FAYETTEVILLE, TN 37334-3637
(256) 260-7306
(256) 350-1661
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
1713
TN
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
DO 231
AL
Other
Enumeration date
03/01/2007
Last updated
01/13/2020
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