Individual
DONELLE KAY KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 S PORTLAND AVE, HARTINGTON, NE 68739-5031
(402) 649-0976
Mailing address
417 E MAIN ST, BLOOMFIELD, NE 68718-2010
(402) 649-0976
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
88440426
NE
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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