Kirk, Sherris

Organization Active NPI Primary Podiatric Medicine Podiatrist · Bainbridge Island, WA

NPI 1033424239 · NPPES record last updated Aug 11, 2010

Key facts

NPI
1033424239
Entity type
Organization (NPI type 2)
Primary specialty
Primary Podiatric Medicine Podiatrist 213EP1101X
License
PO0000501 (WA)
Legal business name
KIRK, SHERRIS
Practice address
6470 NE Marshall Rd
Bainbridge Island, WA 98110-1617
Phone
(206) 819-9605
NPI assigned
Aug 11, 2010
Organization subpart
No

Authorized official

Name
Charity Campbell
Title
Credentialing
Phone
(425) 775-1505

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist
Group: 193400000X SINGLE SPECIALTY GROUP
213EP1101X PO0000501 WA Yes
Prosthetic/Orthotic Supplier 335E00000X PO0000501 WA

Addresses

Primary practice location

6470 NE Marshall Rd
Bainbridge Island, WA 98110-1617

Mailing address

6470 NE Marshall Rd
Bainbridge Island, WA 98110-1617
Phone (206) 819-9605

Other providers in Bainbridge Island, WA

All providers in Bainbridge Island, WA · Primary Podiatric Medicine Podiatrist in Washington

Sources for this page

Verify at the official NPI Registry.