Kirk, Amy M

Kirk, Amy M is an individual health care provider with primary practice located at 393 E Town St Suite 109, Columbus OH 43215-4741. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kirk, Amy M can be contacted via phone (614) 252-1500.

Contact Information

Primary practice address
393 E Town St Suite 109 Columbus OH 43215-4741
Phone: (614) 252-1500
Fax: (614) 252-1685
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 08105NP Ohio

Profile Details

NPI number 1407851876
LBN Legal business name Kirk, Amy M
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Apr 25th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407851876 NPPES
Ohio MEDICAID 2547453

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