{
"Npi": {
"NPI": "1194454199",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "KIRK",
"FirstName": "KAYLYN",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "DO",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "240 S MAIN ST STE J",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WOLFEBORO",
"MailingAddressStateName": "NH",
"MailingAddressPostalCode": "03894-4411",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "603-569-7588",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "240 S MAIN ST STE J",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WOLFEBORO",
"PracticeLocationAddressStateName": "NH",
"PracticeLocationAddressPostalCode": "03894-4411",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "603-569-7588",
"PracticeLocationAddressFaxNumber": "603-569-7589",
"EnumerationDate": "06/07/2022",
"LastUpdateDate": "07/08/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207R00000X",
"TaxonomyName": "Internal Medicine Physician",
"LicenseNumber": "35150",
"LicenseNumberStateCode": "NH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}