Individual
HEATHER ANN KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
557 MAIN ST, LOGAN, WV 25601-3809
(304) 752-3436
(304) 687-2669
Mailing address
557 MAIN ST, LOGAN, WV 25601-3809
(304) 752-3436
(304) 687-2669
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
56387
WV
Other
Enumeration date
12/18/2012
Last updated
06/27/2024
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