Individual
SHAWN A KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.O.C.P.
Contact information
Practice address
2231 E MILLBROOK RD, 101, RALEIGH, NC 27604-1746
(919) 510-4131
(919) 510-4132
Mailing address
2231 E MILLBROOK RD, 101, RALEIGH, NC 27604-1746
(919) 510-4131
(919) 510-4132
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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