| Kirk Family Practice, Llc | |
|
100 South Main Street Suite 200 Smyrna DE 19977 | |
| (302) 653-6022 | |
| Not Available |
| Full Name | Kirk Family Practice, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 100 South Main Street, Smyrna, Delaware |
| Authorized Official Name and Position | Deborah T. Kirk (PRESIDENT/OWNER) |
| Authorized Official Contact | 3026536022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirk Family Practice, Llc 100 S Main St Ste 205 Smyrna DE 19977-1479 Ph: (302) 653-6022 | Kirk Family Practice, Llc 100 South Main Street Suite 200 Smyrna DE 19977 Ph: (302) 653-6022 |
| NPI Number | 1497838999 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 5991807190 |
|---|---|
| Medicare Enrollment ID | O20070219000263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497838999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2006209061 (Delaware) | Primary |
| Provider Name | Deborah T Kirk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427069475 PECOS PAC ID: 9133112352 Enrollment ID: I20040405001110 |
| Provider Name | Lisa M Rossi Mccalister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568805604 PECOS PAC ID: 4385964683 Enrollment ID: I20150528001670 |
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