| Lynette Kirk, Llc | |
|
2207 E 12th St Davenport IA 52803-3708 | |
| (563) 484-0183 | |
| Not Available |
| Full Name | Lynette Kirk, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2207 E 12th St, Davenport, Iowa |
| 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 |
|---|---|
| Lynette Kirk, Llc 1504 1st St Coal Valley IL 61240-9334 Ph: (563) 484-0183 | Lynette Kirk, Llc 2207 E 12th St Davenport IA 52803-3708 Ph: (563) 484-0183 |
| NPI Number | 1588556088 |
|---|---|
| Provider Enumeration Date | 07/18/2025 |
| Last Update Date | 02/02/2026 |
| Certification Date | 02/02/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588556088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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