Individual
GREGORY DALE KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
615 N WOLFE ST, BALTIMORE, MD 21205-2103
(410) 614-3269
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
D46874
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
510108500
—
MD
Enumeration date
12/09/2006
Last updated
07/08/2007
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