Individual
AMBER RAEANNE KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2201 LEXINGTON AVE, ASHLAND, KY 41101-2843
(606) 408-4000
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3012903
KY
363L00000X
Nurse Practitioner
APRN.CNP.022424
OH
363LA2100X
Acute Care Nurse Practitioner
3012903
KY
363LG0600X
Gerontology Nurse Practitioner
Primary
3012903
KY
Other
Enumeration date
03/07/2018
Last updated
02/22/2021
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