Individual
KATY ANNE KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
20940 N TATUM BLVD STE 300, PHOENIX, AZ 85050-7273
(480) 607-0060
(480) 607-5809
Mailing address
20940 N TATUM BLVD STE 300, PHOENIX, AZ 85050-7273
(480) 607-0060
(480) 607-5809
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R74417
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282098
—
AZ
Enumeration date
06/02/2014
Last updated
03/12/2018
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