Individual
DR. HENRY ALDEN KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2169 S LAMAR BLVD, OXFORD, MS 38655-5223
(662) 234-1530
(662) 236-0028
Mailing address
2169 S LAMAR BLVD, OXFORD, MS 38655-5223
(662) 234-1530
(662) 236-0028
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
19374
MS
2086S0129X
Vascular Surgery Physician
Primary
19374
MS
208C00000X
Colon & Rectal Surgery Physician
19374
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02125899
—
MS
Enumeration date
04/11/2007
Last updated
05/27/2008
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