Individual
MR. RONNIE ALLEN KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
3102 CANTON AVE, LUBBOCK, TX 79410-3404
(806) 766-0765
(806) 766-0765
Mailing address
3708 26TH ST, LUBBOCK, TX 79410-2030
(806) 792-7262
(806) 766-0765
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0819
TX
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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