Individual
DR. KIRK S HINKLEY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25059 STATE ROUTE 11 STE A, HALLSTEAD, PA 18822-8831
(570) 879-8779
Mailing address
2872 TURNPIKE ST, SUSQUEHANNA, PA 18847-2771
(570) 853-3135
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
260513
NY
207P00000X
Emergency Medicine Physician
87766
OH
207P00000X
Emergency Medicine Physician
MD446951
PA
208D00000X
General Practice Physician
Primary
MD446951
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026505170008
—
PA
Enumeration date
06/13/2006
Last updated
03/04/2020
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