Individual
MATTHEW THOMAS KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
333 BORTHWICK AVE, PORTSMOUTH, NH 03801-7128
(603) 433-4890
(603) 433-5185
Mailing address
7 ENO DR, EXETER, NH 03833-7506
(207) 939-8879
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1437
NH
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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