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Individual

MR. PATRICK KIRK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BA, MS, CPSS, CFSP

Contact information

Practice address
6003 W OVERLAND RD STE 201, BOISE, ID 83709-3076
(208) 982-7701
(208) 694-6301
Mailing address
6003 W OVERLAND RD STE 301, BOISE, ID 83709-3077
(208) 801-6806
(208) 694-6301

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
175T00000X
Peer Specialist
251B00000X
Case Management Agency
ID
251S00000X
Community/Behavioral Health Agency
Primary
ID
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
01/30/2016
Last updated
05/16/2024
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