Individual
HELEN RENEE KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 331-3400
(812) 332-7265
Mailing address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 331-3400
(812) 332-7265
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01067476A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0000034144
TN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01067476A
IN
207RP1001X
Pulmonary Disease Physician
01067476A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000640739
ANTHEM
IN
05
—
200965140
—
IN
01
—
P00790215
R.R. MEDICARE
IN
Enumeration date
07/24/2006
Last updated
06/29/2021
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