Individual
DEBRA JOY KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1700 S LINCOLN AVE, LEBANON, PA 17042-7529
(717) 272-6621
Mailing address
35 WALNUT GARDEN RD, RISING SUN, MD 21911-1775
(410) 441-9156
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003394
PA
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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