Individual
DR. TYLER DEXTER KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
16000 JOHNSTON MEMORIAL DR, ABINGDON, VA 24211-7664
(276) 258-4435
Mailing address
16000 JOHNSTON MEMORIAL DR, ABINGDON, VA 24211-7664
(276) 258-4435
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0102205759
VA
207Q00000X
Family Medicine Physician
Primary
0102205759
VA
Other
Enumeration date
06/23/2016
Last updated
10/31/2019
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