Organization
KIRK FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH KIRK M.D. (OWNER)
(302) 653-6022
Entity
Organization
Contact information
Practice address
100 S MAIN STREET, SUITE 205, SMYRNA, DE 19977-1433
(302) 653-6022
(302) 389-1094
Mailing address
100 S MAIN STREET, SUITE 205, SMYRNA, DE 19977-1433
(302) 653-6022
(302) 389-1094
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6561586
CIGNA
DE
Enumeration date
04/13/2007
Last updated
08/22/2020
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