Individual
DR. KIRK A CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4015 UNIVERSITY DR, SUITE K, DURHAM, NC 27707-2548
(919) 493-1940
(919) 493-5717
Mailing address
4015 UNIVERSITY DR, SUITE K, DURHAM, NC 27707-2548
(919) 493-1940
(919) 493-5717
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2390
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0143R
NC BCBS
NC
Enumeration date
08/31/2006
Last updated
11/14/2008
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