Individual
PAMELA KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
142 STUART NELSON PARK RD, PADUCAH, KY 42001-9678
(270) 442-9502
Mailing address
7251 STATE ROUTE 506, MARION, KY 42064-9619
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
135457
KY
Other
Enumeration date
02/18/2016
Last updated
05/04/2017
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