Individual
HEATHER J KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
202 N 1ST ST, STE A, BOONEVILLE, MS 38829-2718
(662) 720-4000
(662) 728-5185
Mailing address
202 N 1ST ST, STE A, BOONEVILLE, MS 38829-2718
(662) 720-4000
(662) 728-5185
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R869933
MS
Other
Enumeration date
01/22/2011
Last updated
10/18/2016
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