Individual
KIRK MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 WURTLAND AVE, GREENUP, KY 41144-1445
(606) 836-0931
Mailing address
100 WURTLAND AVE, GREENUP, KY 41144-1445
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02138
KY
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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