Individual
MR. KEVIN ALLEN KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
800 WALNUT STREET, 19TH FLOOR, PHILADELPHIA, PA 19107
(215) 829-3409
(215) 829-5855
Mailing address
800 WALNUT STREET, 19TH FLOOR, PHILADELPHIA, PA 19107
(215) 829-3409
(215) 829-5855
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP012116
PA
Other
Enumeration date
01/07/2013
Last updated
05/18/2015
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