Lynette Kirk, Llc | |
1504 1st St Coal Valley IL 61240-9334 | |
(563) 484-0183 | |
Not Available |
Full Name | Lynette Kirk, Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 1504 1st St, Coal Valley, Illinois |
Authorized Official Name and Position | Lynette Kirk (OWNER) |
Authorized Official Contact | 5634840183 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lynette Kirk, Llc 1504 1st St Coal Valley IL 61240-9334 Ph: (563) 484-0183 | Lynette Kirk, Llc 1504 1st St Coal Valley IL 61240-9334 Ph: (563) 484-0183 |
NPI Number | 1588556088 |
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Provider Enumeration Date | 07/18/2025 |
Last Update Date | 07/18/2025 |
Certification Date | 07/17/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588556088 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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