Individual
DR. WILLIAM DEADRICK KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
312 W HIGH ST, LEBANON, KY 40033-1428
(270) 692-9559
(270) 692-9236
Mailing address
312 W HIGH ST, LEBANON, KY 40033-1428
(270) 692-9559
(270) 692-9236
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26011
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64260110
—
KY
Enumeration date
08/22/2005
Last updated
12/20/2019
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