Individual
CHASSITY KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-FNP-BC
Contact information
Practice address
5322 MCCLELLAN HWY, BRANCHLAND, WV 25506-8725
(304) 824-5707
(304) 824-5706
Mailing address
7400 LYNN AVE, HAMLIN, WV 25523-1138
(304) 824-5806
(304) 824-5804
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
76003
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810029997
—
WV
Enumeration date
07/16/2015
Last updated
08/21/2024
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