Individual
TERI NICOLE KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 4TH AVE, UNDERWOOD, IA 51576-4902
(712) 308-2217
Mailing address
11011 Q ST STE 101C, OMAHA, NE 68137-3700
(402) 697-5121
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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