Individual
TIM J. KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDCS
Contact information
Practice address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7550
Mailing address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
Taxonomy
Speciality
Code
Description
License number
State
246W00000X
Cardiology Technician
Primary
18111
WY
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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