Individual
WESLEY D KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 N HILLSIDE ST, STE 601, WICHITA, KS 67214-4910
(316) 962-7190
Mailing address
12805 W ALDERNY ST, WICHITA, KS 67235-7016
(316) 239-1806
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0432264
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-32264
KS LICENCE
KS
Enumeration date
04/16/2007
Last updated
12/31/2016
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