Daniel Kirk, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT006634 Issued in PA

Practice address

102 S Saint Cloud St
Allentown, PA 18104-6726

Phone

(484) 765-5301

NPI assigned

May 11, 2017

Last updated

May 11, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1073049938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 RACE ST",
            "address_2": "APT #C3",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183011226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S SAINT CLOUD ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046726",
            "telephone_number": "484-765-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "DANIEL",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT006634",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Stephanie Kingon, CPNP
• Kristen Kingry, D.O.
• Jeffrey Kinney
• Philip J Kinney, PH.D.
• Katrina Mikayla Kiprizlis, LPC
• Laurie Kirkpatrick, RN
• Kirshner Health Solutions, LLC
• Corey Wayne Kirshner, DC
• Briana Kish, PA
• Katelynn Joan Kissling

• Athletic Trainer in Allentown, PA
• Providers in Allentown, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.