Individual
MRS. JUDY R KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD CON
Contact information
Practice address
417 LIBERTY ST, STE 1116, PENN YAN, NY 14527
(315) 536-5515
Mailing address
417 LIBERTY STREET, STE 1116, PENN YAN, NY 14527-1124
(315) 536-5515
(315) 536-5514
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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