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Individual

KIRK MCKOWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BOC COF

Contact information

Practice address
3029 WEBSTER RD, SUMMERSVILLE, WV 26651-1041
(304) 872-9001
(304) 872-3218
Mailing address
3029 WEBSTER RD, SUMMERSVILLE, WV 26651-1041
(304) 872-9001
(304) 872-3218

Taxonomy

Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
C54023
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C54023
BOC COF
WV
Enumeration date
03/14/2022
Last updated
03/14/2022
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