Individual
SAMANTHA KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5736 MANCHESTER HWY, MORRISON, TN 37357-7503
(931) 815-3871
Mailing address
242 GARTH CIR, MCMINNVILLE, TN 37110-1378
(931) 224-0508
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
85997
TN
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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