1417118688 NPI number — KRISTIN DESSERT KIRK L.C.S.W.

Table of content: KRISTIN DESSERT KIRK L.C.S.W. (NPI 1417118688)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417118688 NPI number — KRISTIN DESSERT KIRK L.C.S.W.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KIRK
Provider First Name:
KRISTIN
Provider Middle Name:
DESSERT
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
L.C.S.W.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1417118688
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/18/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
17247 GLASSFIELD DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUNTERSVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28078-5269
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-237-0421
Provider Business Mailing Address Fax Number:
704-705-2421

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
903 NORTHEAST DR
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
DAVIDSON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28036-7416
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-237-0421
Provider Business Practice Location Address Fax Number:
704-705-2421
Provider Enumeration Date:
06/20/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  C006057 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2186760 . This is a "COMPSYCH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6106990 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1490A . This is a "BCBS" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 56162 . This is a "MEDCOST" identifier . This identifiers is of the category "OTHER".




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