Individual
MR. ROGER WAYNE KIRK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1340 HIGHWAY 231 S STE 1, TROY, AL 36081-3012
(334) 770-7337
(334) 770-7339
Mailing address
PO BOX 312, UNION SPRINGS, AL 36089-0312
(334) 740-5252
(334) 738-7339
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-079245
AL
Other
Enumeration date
07/01/2008
Last updated
02/17/2012
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