Jessica Lynn Kirk MD

NPI 1649470493 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1649470493
Gender Female
Enumeration Date 07/20/2007
Last Updated 10/28/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
4414 LAKE BOONE TRL
SUITE 408
RALEIGH NC, 27607-7513, US
Phone (919) 781-1001
Fax (919) 781-3909
Business Location
4414 LAKE BOONE TRL
SUITE 408
RALEIGH NC, 27607-7513, US
Phone (919) 781-1001
Fax (401) 885-6640
Toxanomy
Taxonomy Code 390200000X
License State Pennsylvania
License Number MT191132
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According to our database, Dr. Jessica Lynn Kirk MD NPI is 1649470493, taxonomy code is 390200000X and license number is MT191132, license state is located at Pennsylvania. Jessica Lynn Kirk MD physically located at 4414 Lake Boone Trl, Raleigh NC, 27607-7513. NPI Number Jessica Lynn Kirk MD has the Individual type.

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1649470493 NPI number is provided on an as is basis without warranty of any kind. 1649470493 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica Lynn Kirk MD are for informational purposes only.