Nicole Kirk PA

NPI 1053368720 - Physician Assistant - 363A00000X

NPI Details
NPI 1053368720
Gender Female
Enumeration Date 05/28/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
9000 FRANKLIN SQUARE DR
BALTIMORE MD, 21237-3901, US
Phone (410) 682-7046
Fax
Business Location
1000 RIVER RD
SUITE 100
CONSHOHOCKEN PA, 19428-2439, US
Phone (800) 355-3818
Fax (610) 834-2862
Toxanomy
Taxonomy Code 363A00000X
License State Maryland
License Number C0003142
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According to our database, Nicole Kirk PA NPI is 1053368720, taxonomy code is 363A00000X and license number is C0003142, license state is located at Maryland. Nicole Kirk PA physically located at 9000 Franklin Square Dr, Baltimore MD, 21237-3901. NPI Number Nicole Kirk PA has the Individual type.

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1053368720 NPI number is provided on an as is basis without warranty of any kind. 1053368720 is maintained by the National Plan & Provider Enumeration System. The contents of Nicole Kirk PA are for informational purposes only.