Individual
KRISTI KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27419 NEWCASTLE RD, GAMBIER, OH 43022-9765
(740) 398-2095
Mailing address
27419 NEWCASTLE RD, GAMBIER, OH 43022-9765
(740) 398-2095
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
SH924186
OH
3747P1801X
Personal Care Attendant
Primary
SH924186
OH
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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