SearchWyoming246W00000X

Tim Kirk, RDCS

NPI 1689975104 · on the registry since 2010 · sole proprietor

Practice

Address
2360 E Pershing Blvd
Cheyenne, WY 82001
Phone
(307) 778-7550
Organisation at this address
Cheyenne Vamc
Cheyenne Vamc
Vamc Cheyenne
Cheyenne Vamc
Cheyenne Vamc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
383

Registry record

Primary taxonomy
246W00000X
246W00000X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-11-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming