Individual
MRS. KRISTIE LEE KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
984 HERITAGE DR, MIDDLEBURY, IN 46540-9237
(574) 825-5393
(574) 534-7340
Mailing address
984 HERITAGE DR, MIDDLEBURY, IN 46540-9237
(574) 825-5393
(574) 534-7340
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27059466A
IN
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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