Individual
KEVIN KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
41 S 100 E STE J, RICHFIELD, UT 84701-2691
(435) 287-0563
(435) 287-0564
Mailing address
PO BOX 338, RICHFIELD, UT 84701-0338
(435) 287-0563
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
10648318-1205
UT
Other
Enumeration date
05/07/2014
Last updated
01/13/2021
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