Individual
LISA THOMPSON KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7585 CLARINGTON CV, SOUTHAVEN, MS 38671-5656
(662) 349-0200
Mailing address
7585 CLARINGTON CV, SOUTHAVEN, MS 38671-5656
(662) 349-0200
(662) 349-1666
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00615
MS
Other
Enumeration date
11/04/2021
Last updated
10/22/2024
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