Individual
KIM KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1027 FAIR ST STE C, PRESCOTT, AZ 86305-1897
(928) 776-1065
Mailing address
1027 FAIR ST STE C, PRESCOTT, AZ 86305-1897
(928) 776-1065
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HAD11745
AZ
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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