Individual
LISA KIRKTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 OAKLAND AVE, ELKHART, IN 46517-1533
(574) 533-1234
(574) 522-5783
Mailing address
10209 FOREST LAKES DR, MIDDLEBURY, IN 46540-9413
(574) 238-2503
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71006510
IN
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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