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Individual

PATRICK S KIRK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
4400 BROADWAY BLVD STE 520, KANSAS CITY, MO 64111-3342
(816) 960-7600
Mailing address
901 E 104TH ST, MAILSTOP 400S, KANSAS CITY, MO 64131
(816) 960-7600

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2024027857
MO
363LF0000X
Family Nurse Practitioner
5383612
KS

Other

Enumeration date
06/07/2024
Last updated
12/02/2024
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