Individual
SONIA A KIRK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
36000 EUCLID AVE, WILLOUGHBY, OH 44094
(440) 953-6203
(440) 953-6202
Mailing address
14840 TRAPPERSTRAIL, NOVELTY, OH 44072
(440) 338-5572
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35051941K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0593853
—
OH
Enumeration date
03/29/2006
Last updated
07/08/2007
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