Individual
MR. JOHN F KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 293-8300
Mailing address
351 WHITTINGTON DR, CENTERVILLE, OH 45459-2133
(937) 206-8137
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APP-000137018
OH
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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