Marvin Norwood Kirk in Benton - Family Medicine

Marvin Norwood Kirk - NPI 1619071024

Marvin Norwood Kirk is a Family Medicine in Benton, Arkansas. Marvin Norwood Kirk practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Marvin Norwood Kirk is 1619071024. The last update date is 2007-07-09.

Marvin Norwood Kirk's current location address is 1102 B West South Street, Benton, Arkansas. You can contact this provider via phone number 5017768545 and fax number 5017761619. The mailing address for Marvin Norwood Kirk is 1102 B West South Street, Benton, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Marvin Norwood Kirk
Address 1102 B West South Street, Benton, Arkansas
Phone Number 5017768545
Fax Number 5017761619
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1619071024
Provider Enumeration Date 2006-09-08
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 1102 B West South Street
City Benton
State Arkansas (AR)
Post Code 720154066
Phone Number 5017768545
Fax Number 5017761619

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No C4039
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
C4039 AR STATE LISCENCE

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FAQs about Marvin Norwood Kirk

What is the unique 10-digit identification code assigned to Marvin Norwood Kirk by the Centers for Medicare & Medicaid Services?

The Marvin Norwood Kirk has been issued the NPI (National Provider Identifier) 1619071024, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Marvin Norwood Kirk's facilities are geographically located?

The facilities of Marvin Norwood Kirk are physically situated at the following location: 1102 B West South Street, Benton, AR, 720154066.

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

The specialized field of practice for Marvin Norwood Kirk is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1619071024 to Marvin Norwood Kirk?

The Centers for Medicare & Medicaid Services originally issued the 1619071024 to Marvin Norwood Kirk on 2006-09-08.

When was the information pertaining to Marvin Norwood Kirk most recently updated or revised?

The details related to Marvin Norwood Kirk, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.

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