MEDICARE: DYLAN MATTHEW KIRK

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	101YM0800X	Mental Health Counselor	LPC-24269	AZ

General Provider Information

NPI Number	:	1902772684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DYLAN MATTHEW KIRK

Provider Business Mailing Address
First Line	:	8452 E APPOMATTOX ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85710-2923
Country	:	US
Telephone Number	:	520-834-7417
Fax Number	:

Provider Business Practice Location Address
First Line	:	8452 E APPOMATTOX ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85710-2923
Country	:	US
Telephone Number	:	520-834-7417
Fax Number	:

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

Provider Enumeration Date	:	10/11/2025
Last Update Date	:	01/02/2026

Similar Medicare Providers

1508615527 — JENNIFER TOOLE FNP
Practice Location Address:

930 E CAMINO ALBERCA
TUCSON, AZ
85718-2923

Practice Phone: 520-275-5553
Practice Fax:

1477369353 — ALEXANDREA RIRIE M.A., BCBA
Practice Location Address:

6700 E SPEEDWAY BLVD STE 401
TUCSON, AZ
85710-1220

Practice Phone: 520-448-9005
Practice Fax: 520-783-0057

1730045790 — STEPHEN JOHN MEYER RBT
Practice Location Address:

6700 E SPEEDWAY BLVD STE 401
TUCSON, AZ
85710-1220

Practice Phone: 520-448-9005
Practice Fax:

1750245544 — LORI SCHOCH
Practice Location Address:

6700 E SPEEDWAY BLVD STE 401
TUCSON, AZ
85710-1220

Practice Phone: 520-448-9005
Practice Fax:

1861141863 — SURGICAL WOUND CARE ASSOCIATES PLLC
Practice Location Address:

6565 E CARONDELET DR STE 335
TUCSON, AZ
85710-3522

Practice Phone: 520-497-5080
Practice Fax:

1174486781 — MAKKELL BAILLARGEON LAC
Practice Location Address:

6602 E CARONDELET DR
TUCSON, AZ
85710-2119

Practice Phone: 520-524-4757
Practice Fax:

Directions to “ DYLAN MATTHEW KIRK ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.