Individual
MS. SUZANNE BENTLEY KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, MS, FNP
Contact information
Practice address
1198 N WEST AVE, JACKSON, MI 49202-2047
(517) 789-1200
(517) 796-4547
Mailing address
810 BRIARCLIFF RD, JACKSON, MI 49203-3857
(517) 414-4845
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704211265
MI
Other
Enumeration date
06/28/2005
Last updated
07/09/2007
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