Individual
MELISSA ANN KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
132 SLICK ROCK RD, DELBARTON, WV 25670-6111
(304) 688-8054
Mailing address
PO BOX 761, GILBERT, WV 25621-0761
(304) 688-8054
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
111690
WV
Other
Enumeration date
01/23/2022
Last updated
01/23/2022
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