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1578543369

NPI Code Detail

MEDICARE: DR. KIRK K LIN MD

MEDICARE: DR. KIRK K LIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0101X	Anatomic Pathology Physician	49131071205	UT
2	207ZP0101X	Anatomic Pathology Physician	831843	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578543369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIRK K LIN MD

Provider Business Mailing Address
First Line	:	10200 GRAND CENTRAL AVE STE 220
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-4366
Country	:	US
Telephone Number	:	602-557-0007
Fax Number	:	602-557-0002

Provider Business Practice Location Address
First Line	:	1313 E OSBORN RD STE 150
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85014-5688
Country	:	US
Telephone Number	:	602-264-4431
Fax Number	:	602-241-5103

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2006
Last Update Date	:	03/21/2025

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Directions to “ DR. KIRK K LIN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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