Individual
JEAN KAY KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN CNP
Contact information
Practice address
1900 CENTRACARE CIRCLE #2475, CENTRACARE HEALTH PLAZA, ST CLOUD, MN 56303-5000
(320) 229-4977
(320) 229-5109
Mailing address
1406 6TH AVENUE NORTH, ST CLOUD HOSPITAL, ST CLOUD, MN 56303-1900
(320) 251-2700
(320) 656-7115
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R1906705
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP4000
MN
Other
Enumeration date
08/14/2015
Last updated
08/18/2015
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