Individual
KECIA K KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1397 BELK BLVD, OXFORD, MS 38655-5301
(662) 236-4675
(662) 281-0819
Mailing address
1397 BELK BLVD, OXFORD, MS 38655-5301
(662) 236-4675
(662) 281-0819
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18421
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00463813
RAILROAD MEDICARE
MS
Enumeration date
09/26/2006
Last updated
01/28/2010
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