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Individual

JENNIFER A. KIRK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
129 E 107TH AVE, CROWN POINT, IN 46307-6517
(219) 662-4134
Mailing address
10358 KANSAS ST, CROWN POINT, IN 46307-7367
(219) 776-5027

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209019340
IL
363LF0000X
Family Nurse Practitioner
Primary
71008691A
IN

Other

Enumeration date
07/27/2018
Last updated
09/08/2023
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