Individual
MRS. DIANE M KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LDN
Contact information
Practice address
601 MAIN ST, DUNEDIN, FL 34698-5848
(727) 734-6328
Mailing address
8238 DANUBIAN PL, TRINITY, FL 34655-4500
(727) 376-9569
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2003
FL
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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