National Provider Identifier Database

KIRK MEDICAL CLINIC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


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
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for KIRK MEDICAL CLINIC

NPI Number 1982811543
Legal business name
LBN
KIRK MEDICAL CLINIC
Authorized official MARVIN KIRK - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/16/2007
Last updated 11/03/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • AR License #: C4039

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.

Reviews for KIRK MEDICAL CLINIC

There are currently no reviews for KIRK MEDICAL CLINIC


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