Alton R Kirk in East Lansing - Clinical

Alton R Kirk - NPI 1457520546

Alton R Kirk is a Clinical in East Lansing, Michigan. Alton R Kirk practices all healthcare services and medical treatments related to Clinical. The NPI Number for Alton R Kirk is 1457520546. The last update date is 2008-02-22.

Alton R Kirk's current location address is 1451 E Lansing Dr, East Lansing, Michigan. You can contact this provider via phone number 5173519006 and fax number 5173516105. The mailing address for Alton R Kirk is 1451 E Lansing Dr, East Lansing, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Alton R Kirk
Address 1451 E Lansing Dr, East Lansing, Michigan
Phone Number 5173519006
Fax Number 5173516105
Sole Proprietor Y
Credentials PH.D., CLI

NPI Number Detail

NPI Number 1457520546
Provider Enumeration Date 2008-02-22
Last Updated Date 2008-02-22

Provider Mailing Address Detail

Address 1451 E Lansing Dr
City East Lansing
State Michigan (MI)
Post Code 488237785
Phone Number 5173519006
Fax Number 5173516105

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 6301002055
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5774436 MI MAGELLAN
5774436 MI PROVIDERS HEALTH PLAN
5774431 MI MCCLAREN HEALTH CARE
5774431 MI AETNA

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FAQs about Alton R Kirk

What is the Alton R Kirk's unique identification number?

The Alton R Kirk has been assigned the NPI (National Provider Identifier) Number 1457520546 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Alton R Kirk's physical address?

The Alton R Kirk is physically located at 1451 E Lansing Dr, in the city of East Lansing, MI, with the postal code 488237785.

What is the area of specialization for Alton R Kirk, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Alton R Kirk is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.

When did the Alton R Kirk receive its 1457520546?

The Alton R Kirk was issued its 1457520546 on 2008-02-22, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Alton R Kirk, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Alton R Kirk, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-02-22.

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