Individual
DR. ALTON R KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., CLINICAL PSYC
Contact information
Practice address
1451 E LANSING DR, SUITE 224, EAST LANSING, MI 48823-7785
(517) 351-9006
(517) 351-6105
Mailing address
1451 E LANSING DR, SUITE 224, EAST LANSING, MI 48823-7785
(517) 351-9006
(517) 351-6105
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301002055
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005774431
MCCLAREN HEALTH CARE
MI
01
—
0005774436
MAGELLAN
MI
Enumeration date
02/22/2008
Last updated
02/22/2008
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