Individual
CONNIE KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12038 MACCORKLE AVE, CHESAPEAKE, WV 25315-1129
(304) 415-2326
Mailing address
12038 MACCORKLE AVE, CHESAPEAKE, WV 25315-1129
(304) 415-2326
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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