Kirk, Ashley Vance

Kirk, Ashley Vance is an individual health care provider with primary practice located at 1014 Sycamore Dr Ste B, Decatur GA 30030-1644. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Kirk, Ashley Vance can be contacted via phone (404) 299-1700.

Contact Information

Primary practice address
1014 Sycamore Dr Ste B Decatur GA 30030-1644
Phone: (404) 299-1700
Fax: (404) 299-1616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT000597 Georgia

Profile Details

NPI number 1639258122
LBN Legal business name Kirk, Ashley Vance
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Jul 8th, 2007 - about 19 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 1639258122 NPPES
Georgia Other AT000597 STATE LICENSE

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