Individual
MR. THOMAS M KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
3205 N LAKEWOOD BLVD, LONG BEACH, CA 90808-1733
(310) 613-0359
Mailing address
3205 N LAKEWOOD BLVD, LONG BEACH, CA 90808-1733
(310) 613-0359
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
PT19932
CA
Other
Enumeration date
10/18/2006
Last updated
04/24/2025
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