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Individual

JENNIFER DOROTHY KIRK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, CRNP

Contact information

Practice address
34TH STREET AND CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(215) 590-2754
Mailing address
34TH STREET AND CIVIC CENTER BLVD, PHILADELPHIA, PA 19104

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP007723
PA

Other

Enumeration date
06/06/2007
Last updated
12/22/2014
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