Individual
AIDIA KIRKSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 SAND PINE TRL, CRAWFORDVILLE, FL 32327
(850) 556-0904
(850) 888-3058
Mailing address
114 SAND PINE TRL, CRAWFORDVILLE, FL 32327-1253
(850) 556-0904
(850) 888-3058
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/23/2016
Last updated
06/01/2018
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