Individual
MRS. KATHY SULLIVAN SHIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
403 FORD ST, WEST MIFFLIN, PA 15122-4105
(412) 469-8649
Mailing address
403 FORD ST, WEST MIFFLIN, PA 15122-4105
(412) 469-8649
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP000055A
PA
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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