Individual
JOE WILLIE KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHPP
Contact information
Practice address
4912 SPRINGHOUSE DR, SPRINGDALE, AR 72762-7261
(479) 750-2020
(479) 872-2441
Mailing address
PO BOX 6430, SPRINGDALE, AR 72766-6430
(479) 750-2020
(479) 872-2441
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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