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Contact Information

JESSICA D KIRK, FNP
1801 S BROADWAY ST.
PITTSBURG, KS66762
 Phone: 888-777-9170
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JESSICA D KIRK · (Female)

NPI # 1235262924
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 03/13/2007
Last updated 06/06/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • KS License # 77419
  • MO License # 2002026638
  • MO Medicaid 1235262924
  • MO Medicaid 426300208
  • Other P00419085 RR MEDICARE
Hospital affiliation(s)
  • PREMIER SURGICAL INSTITUTE - (Acute Care)
    1619 K HIGHWAY 66, PO BOX 127
    GALENA, KS 66739
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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