Mrs Kristie Lee Kirk, LPN is a
Licensed Practical Nurse based in Middlebury, Indiana. Mrs Kristie Lee Kirk is licensed to practice in Indiana (license number 27059466A) and her current practice location is
984 Heritage Dr, Middlebury, Indiana. She can be reached at her office (for appointments etc.) via phone at
(574) 825-5393.
NPI number for Mrs Kristie Lee Kirk is 1407007164 and her current mailing address is 984 Heritage Dr, Middlebury, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407007164.
Provider's Profile
Full Name | Mrs Kristie Lee Kirk |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 984 Heritage Dr, Middlebury, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407007164
- Provider Enumeration Date: 09/30/2008
- Last Update Date: 09/30/2008
Medical Identifiers
Medical identifiers for Mrs Kristie Lee Kirk such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407007164 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 27059466A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kristie Lee Kirk is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Kristie Lee Kirk, LPN 984 Heritage Dr, Middlebury, IN 46540-9237 Ph: (574) 825-5393 | Mrs Kristie Lee Kirk, LPN 984 Heritage Dr, Middlebury, IN 46540-9237 Ph: (574) 825-5393 |
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