Kirk, Ivan

Kirk, Ivan is an individual health care provider with primary practice located at 1604 Fluorshire Dr , Brandon FL 33511-9393. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Kirk, Ivan can be contacted via phone (813) 746-4619.

Contact Information

Primary practice address
1604 Fluorshire Dr Brandon FL 33511-9393
Phone: (813) 746-4619
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN 5179474 Florida

Profile Details

NPI number 1801077318
LBN Legal business name Kirk, Ivan
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2007
Last updated Nov 27th, 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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