Individual
ROBERT KIRK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11700 N MERIDIAN ST, CARMEL, IN 46032-4656
(317) 688-5840
(317) 962-3916
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA3531
FL
363AM0700X
Medical Physician Assistant
Primary
10003883A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
267030297
MEDICARE
IN
05
—
291393300
—
FL
01
—
970028928
RAILROAD MEDICARE
—
Enumeration date
06/02/2006
Last updated
02/09/2023
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