Individual
KATHLEEN JEAN KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3461 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4302
(215) 823-4528
Mailing address
4115 KOTTLER DR, LAFAYETTE HILL, PA 19444-1505
(215) 233-9264
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
TP001424H
PA
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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