Amanda J Kirk O.D.

NPI 1477860708 - Optometrist - 152W00000X

NPI Details
NPI 1477860708
Gender Female
Enumeration Date 09/08/2010
Last Updated 10/03/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
25 N MAIN ST
SPARTA TN, 38583-2055, US
Phone (931) 836-2235
Fax
Business Location
25 N MAIN ST
SPARTA TN, 38583-2055, US
Phone (931) 836-3036
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Tennessee
License Number 2944
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According to our database, Ms. Amanda J Kirk O.D. NPI is 1477860708, taxonomy code is 152W00000X and license number is 2944, license state is located at Tennessee. Amanda J Kirk O.D. physically located at 25 N Main St, Sparta TN, 38583-2055. NPI Number Amanda J Kirk O.D. has the Individual type.

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1477860708 NPI number is provided on an as is basis without warranty of any kind. 1477860708 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda J Kirk O.D. are for informational purposes only.