Individual
DR. CARISSA NICOLETTE KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
20745
WI
207X00000X
Orthopaedic Surgery Physician
20A20576
CA
207X00000X
Orthopaedic Surgery Physician
254863
NY
207X00000X
Orthopaedic Surgery Physician
55627
IA
207X00000X
Orthopaedic Surgery Physician
67668
GA
207X00000X
Orthopaedic Surgery Physician
74450
MN
207X00000X
Orthopaedic Surgery Physician
76270
WI
207X00000X
Orthopaedic Surgery Physician
Primary
P7296
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801003959
—
WI
05
—
333634902
—
TX
Enumeration date
05/17/2007
Last updated
04/14/2026
Update your record
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