Individual
MR. KIRK ALAN DUNKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
11130 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845-1735
(260) 385-1574
Mailing address
7131 SAINT JOE CENTER RD, FORT WAYNE, IN 46835-2730
(260) 485-7794
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000842A
IN
Other
Enumeration date
03/14/2006
Last updated
02/25/2016
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