Individual
KIRK DOUGLAS ROUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(161) 899-7531
Mailing address
2401 WEST MAIN, MARION VA, MARION, IL 62595
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
104330
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104330
MARION VA
—
Enumeration date
03/17/2010
Last updated
03/17/2010
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