Individual
TAMALA KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8060 KNUE RD, INDIANAPOLIS, IN 46250-1976
(317) 842-7435
Mailing address
1857 W 60TH ST, INDIANAPOLIS, IN 46228-1207
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27052212A
IN
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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