| Carly Kirk, FNP-C | |
|
1730 Bradford Ln, Normal, IL 61761-1297 | |
| (217) 799-4870 | |
| Not Available |
| Full Name | Carly Kirk |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1730 Bradford Ln, Normal, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467361865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209036854 (Illinois) | Primary |
| 163W00000X | Registered Nurse | 041491491 (Illinois) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Carly Kirk, FNP-C 1730 Bradford Ln, Normal, IL 61761-1297 Ph: (217) 799-4870 | Carly Kirk, FNP-C 1730 Bradford Ln, Normal, IL 61761-1297 Ph: (217) 799-4870 |
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Jennifer Lynn Lanz, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, Suite 4500, Normal, IL 61761 Phone: 309-556-8300 Fax: 309-556-8293 |