Individual
ALLY BROGAN KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 HUDGINS ST UNIT 504, LOGAN, WV 25601-3577
(304) 688-8028
Mailing address
400 HUDGINS ST UNIT 504, LOGAN, WV 25601-3577
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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