Kirk, Carissa Nicolette

Kirk, Carissa Nicolette is an individual health care provider with primary practice located at 5540 Raphael Dr , Edinburg TX 78539-1407. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as her primary health care specialty. Kirk, Carissa Nicolette can be contacted via phone (956) 362-6683.

Contact Information

Primary practice address
5540 Raphael Dr Edinburg TX 78539-1407
Phone: (956) 362-6683
Fax: (956) 362-6818
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 20745 Wisconsin
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 67668 Georgia
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 76270 Wisconsin
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 254863 New York
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X P7296 Texas

Profile Details

NPI number 1801003959
LBN Legal business name Kirk, Carissa Nicolette
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated May 8th, 2024 - about 2 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 1801003959 NPPES
Texas MEDICAID 333634902
Texas MEDICAID 1801003959

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