Kirk, Randall Jacob

Kirk, Randall Jacob is an individual health care provider with primary practice located at 1000 Oakland Dr , Kalamazoo MI 49008-1282. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Kirk, Randall Jacob can be contacted via phone (269) 337-6373.

Contact Information

Primary practice address
1000 Oakland Dr Kalamazoo MI 49008-1282
Phone: (269) 337-6373
Fax: (269) 337-6376
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 5151011375 Michigan
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 5101025700 Michigan

Profile Details

NPI number 1851828032
LBN Legal business name Kirk, Randall Jacob
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2017
Last updated Jul 21st, 2022 - about 4 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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