Individual
KALEE KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 MEDICAL PLZ, SULPHUR SPRINGS, TX 75482
(903) 885-3181
(903) 885-1329
Mailing address
PO BOX 1367, SULPHUR SPRINGS, TX 75483-1367
(903) 885-3181
(903) 885-1329
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
369819302
—
TX
01
—
596475YNSX
MEDICARE
TX
01
—
75-0818167-022
TRICARE
TX
01
—
75-2616977-001
TRICARE
TX
01
—
75-2616977-002
TRICARE
TX
01
—
75-2616977-007
TRICARE
TX
01
—
75-2616977-028
TRICARE
TX
01
—
75-2616977-129
TRICARE
TX
01
—
8404MB
BCBS
TX
01
—
8HD650
BCBS
TX
01
—
P01912519
MEDICARE RAIL ROAD
TX
Enumeration date
08/05/2015
Last updated
06/08/2018
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