Individual
MEGAN ELISA KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
280 CHAPERAL LN, AFTON, TN 37616-3647
(423) 525-7975
Mailing address
280 CHAPERAL LN, AFTON, TN 37616-3647
(423) 525-7975
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6399
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/04/2024
Last updated
02/05/2025
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