Individual
DR. JEFFREY SHEPARD KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2770 CAPITAL MEDICAL BLVD, SUITE 200, TALLAHASSEE, FL 32308-8417
(850) 402-0202
(850) 402-0226
Mailing address
2770 CAPITAL MEDICAL BLVD, SUITE 200, TALLAHASSEE, FL 32308-8417
(850) 402-0202
(850) 402-0226
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015642000
—
FL
Enumeration date
06/04/2008
Last updated
01/26/2022
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