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Individual

CARISSA KIRK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
502 S 2ND ST, RIPLEY, OH 45167-1306
(937) 744-4343
Mailing address
PO BOX 550, VANCEBURG, KY 41179-0550
(606) 956-0162

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
APRN.CNP.024507
OH

Other

Enumeration date
05/20/2019
Last updated
11/19/2020
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