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NPI Code Detail

MEDICARE: MOLLY ELIZABETH KIRK APRN

MEDICARE: MOLLY ELIZABETH KIRK APRN
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
1363L00000XNurse Practitioner3016284KY
2363L00000XNurse Practitioner29847TN

General Provider Information

NPI Number : 1750035556
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLY ELIZABETH KIRK APRN
Provider Business Mailing Address
First Line : 724 ABERDEENE AVE
Second Line :
City : BOWLING GREEN
State : KY
Zip : 42104-5461
Country : US
Telephone Number : 270-316-5632
Fax Number :
Provider Business Practice Location Address
First Line : 300 20TH AVE N STE 302
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-2179
Country : US
Telephone Number : 615-284-2988
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2022
Last Update Date : 02/09/2022

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Directions to “ MOLLY ELIZABETH KIRK APRN” Practice Location

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