William D. Kirk M.D., Pllc

LBN: William D. Kirk M.D., Pllc
William D. Kirk M.D., Pllc is an health care organization with primary practice located at 312 W High St , Lebanon KY 40033-1428. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. William D. Kirk M.D., Pllc can be contacted via phone (270) 692-9559, or through Kirk, William Deadrick via phone (270) 692-9559.

Contact Information

Primary practice address
312 W High St Lebanon KY 40033-1428
Phone: (270) 692-9559
Fax: (270) 692-9236
Website:
Map and Directions
Authorized official contact:
Name: Kirk, William Deadrick Doctor of Medicine (MD)
Phone: (270) 692-9559

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 26011 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 26011 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26011 Kentucky

Profile Details

NPI number 1417043886
LBN Legal business name William D. Kirk M.D., Pllc
DBA Doing business as
Authorized official Kirk, William Deadrick Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2006
Last updated Oct 6th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417043886 NPPES
Kentucky MEDICAID 9590111200
Kentucky Other 50001390
Kentucky Other 2442987001
Kentucky MEDICAID 78903242

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