Celesta V Kirk in Elizabethton - Family

Celesta V Kirk - NPI 1912963026

Celesta V Kirk is a Family in Elizabethton, Tennessee. Celesta V Kirk practices all healthcare services and medical treatments related to Family. The NPI Number for Celesta V Kirk is 1912963026. The last update date is 2017-03-14.

Celesta V Kirk's current location address is 1497 W Elk Ave, Elizabethton, Tennessee. You can contact this provider via phone number 4235428929 and fax number 4235428621. The mailing address for Celesta V Kirk is 1497 W Elk Ave, Elizabethton, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Celesta V Kirk
Address 1497 W Elk Ave, Elizabethton, Tennessee
Phone Number 4235428929
Fax Number 4235428621
Sole Proprietor N
Credentials FNP

NPI Number Detail

NPI Number 1912963026
Provider Enumeration Date 2006-04-26
Last Updated Date 2017-03-14

Provider Mailing Address Detail

Address 1497 W Elk Ave
City Elizabethton
State Tennessee (TN)
Post Code 376432895
Phone Number 4235428929
Fax Number 4235428621

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No APN05038
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1507262 TN --
P01227719 VA RAILROAD MEDICARE
1912963026 VA --

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FAQs about Celesta V Kirk

What is the unique provider identifier assigned to Celesta V Kirk?

The Celesta V Kirk has been issued the NPI (National Provider Identifier) 1912963026 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Celesta V Kirk is physically located?

The Celesta V Kirk is situated at the following address: 1497 W Elk Ave, Elizabethton, TN 376432895.

What is Celesta V Kirk's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Celesta V Kirk's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.

On what date did Celesta V Kirk receive its 1912963026 assignment from the Centers for Medicare & Medicaid Services?

The Celesta V Kirk was assigned its 1912963026 on 2006-04-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Celesta V Kirk, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Celesta V Kirk, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-03-14.

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