Individual
JOHN W. KIRK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2501 WALNUT ST, SUITE 107, BOULDER, CO 80302-5751
(303) 915-0108
(303) 443-4682
Mailing address
PO BOX 2086, FORT COLLINS, CO 80522-2086
(303) 444-3443
(970) 221-3730
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2834
CO
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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