Individual
DR. MICHAEL STEPHEN KIRK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
208 CREEK CROSSING BLVD, HAINESPORT, NJ 08036-2766
(856) 727-8300
(856) 727-8346
Mailing address
208 CREEK CROSSING BLVD, HAINESPORT, NJ 08036-2766
(856) 727-8300
(609) 667-7263
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00578200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001639659
HIGHMARK BLUESHIELD PROVI
NJ
01
—
001745107
HIGHMARK BLUESHIELD GROUP
NJ
01
—
2314204000
AMERIHEALTH HMO PROVIDER
NJ
01
—
2410673000
AMERIHEALTH HMO GROUP
NJ
01
—
3557463
AETNA HMO
NJ
01
—
7272582
AETNA PPO
NJ
Enumeration date
08/19/2006
Last updated
12/29/2017
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