Individual
DR. JAMES FREDERICK KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
889 BRADLEY ST, CONCORD, NC 28025-2979
(704) 786-4482
Mailing address
809 MITCHELL AVE, LEXINGTON, NC 27292-2856
(336) 236-2021
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
318
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012C2
BLUE CROSS BLUE SHIELD N
NC
01
—
0546620001
PALMETTO
NC
01
—
0804449
AETNA
NC
01
—
17585
PARTNER'S
NC
01
—
269695
MAMSI
NC
01
—
2740943
UNITED HEALTHCARE
NC
05
—
890809J
—
NC
01
—
95137
MEDCOST
NC
Enumeration date
02/10/2006
Last updated
07/08/2007
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