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Organization

MICHAEL S. KIRK, JR.

Active
Other names
Performance Health & Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL S. KIRK JR. D.C. (OWNER)
(856) 727-8300
Entity
Organization

Contact information

Practice address
300 CHESTER AVE, SUITE 102, MOORESTOWN, NJ 08057-2512
(856) 727-8300
(856) 727-8346
Mailing address
300 CHESTER AVE, SUITE 102, MOORESTOWN, NJ 08057-2512
(856) 727-8300
(856) 727-8346

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00578200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001745107
PERSONAL CHOICE
NJ
01
2410673000
AMERIHEALTH IBC
NJ
01
3557463
AETNA
NJ
01
7272582
AETNA
NJ
Enumeration date
12/06/2006
Last updated
06/23/2008
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