Individual
SPENCER ALLEN SHIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 E THORPE ST, LAKIN, KS 67860-9625
(620) 355-7111
Mailing address
500 E THORPE ST, LAKIN, KS 67860-9625
(620) 355-7111
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-05733
KS
Other
Enumeration date
08/01/2017
Last updated
07/21/2022
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