Individual
MICHAEL NELS KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 ELEVEN S STE 4A, COLUMBIA, IL 62236-1077
(618) 206-6120
Mailing address
PO BOX 955534 SUITE 103, SAINT LOUIS, MO 63195-0001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036091649
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036091649
—
IL
01
—
P00429606
MEDICARE RR
—
Enumeration date
11/10/2006
Last updated
10/23/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us