Individual
JOHN WARREN KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
273 COUNTY ROAD, 1 MEDICAL CENTER DR, NEW LONDON, NH 03257-0000
(603) 526-2911
(603) 650-1076
Mailing address
PO BOX 2150, NEW LONDON, NH 03257-2150
(603) 863-4196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5132
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004155
—
VT
05
—
30011411
—
NH
Enumeration date
07/05/2006
Last updated
06/16/2011
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