Ivan Kirk is a Licensed Practical Nurse in Brandon, Florida. Ivan Kirk practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Ivan Kirk is 1801077318. The last update date is 2007-11-27.
Ivan Kirk's current location address is 1604 Fluorshire Dr, Brandon, Florida. You can contact this provider via phone number 8137464619. The mailing address for Ivan Kirk is 1604 Fluorshire Dr, Brandon, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ivan Kirk |
|---|---|
| Address | 1604 Fluorshire Dr, Brandon, Florida |
| Phone Number | 8137464619 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1801077318 |
|---|---|
| Provider Enumeration Date | 2007-11-27 |
| Last Updated Date | 2007-11-27 |
Provider Mailing Address Detail
| Address | 1604 Fluorshire Dr |
|---|---|
| City | Brandon |
| State | Florida (FL) |
| Post Code | 335119393 |
| Phone Number | 8137464619 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | PN 5179474 |
|
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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What is the unique 10-digit identification code issued to Ivan Kirk by the Centers for Medicare & Medicaid Services?
The Ivan Kirk has been assigned the NPI (National Provider Identifier) 1801077318 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Ivan Kirk?
The Ivan Kirk is physically situated at 1604 Fluorshire Dr, in the city of Brandon, state of FL, with the postal code 335119393.
What is the area of specialization for Ivan Kirk, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ivan Kirk is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this area of expertise is 164W00000X.
On what date was the 1801077318 assigned to Ivan Kirk?
The Ivan Kirk was issued its 1801077318 on 2007-11-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Ivan Kirk most recently updated or revised?
The details related to Ivan Kirk, including its address, specialty, and other relevant information, were last updated or revised on 2007-11-27.
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