Individual
KATHERINE A KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
105 DART CIR, ROME, NY 13441-4229
(315) 533-5747
(315) 362-5120
Mailing address
105 DART CIR, ROME, NY 13441-4229
(315) 533-5747
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4844631
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
4844631
NY
Other
Enumeration date
10/10/2006
Last updated
08/16/2024
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