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Contact Information

KIRK MEDICAL CLINIC
1102 WEST SOUTH ST SUITE B
BENTON, AR72015
 Phone: 501-776-8545
 Fax: 501-776-1619
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for KIRK MEDICAL CLINIC · (Female)

NPI # 1982811543
Status Active
Credentials
Entity Individual
Enumeration date 05/16/2007
Last updated 11/03/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR License # C4039
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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