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General NPI Number Information
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NPI Number | 1376575969
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Entity Type | Individual
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Provider Name | PATRICIA A KIRK DPM
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Gender | Female
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 9486 HIGHWAY 412 W
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City | LEXINGTON
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State | TN
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Zip | 38351-5713
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Country | US
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Telephone | 731-249-5230
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Fax | 731-506-4888
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Provider Business Mailing Address
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Address Line | 9486 HIGHWAY 412 W
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City | LEXINGTON
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State | TN
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Zip | 38351-5713
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Country | US
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Telephone | 731-249-5230
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Fax | 731-506-4888
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 687
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 687
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License Number State | TN
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