Christopher Todd Kirk, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601000551 Issued in MI

Practice address

1401 Presque Isle Ave
Marquette, MI 49855-2818

Phone

(906) 236-1821

NPI assigned

Sep 11, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1194374231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 OAKRIDGE DR",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498558864",
            "telephone_number": "906-236-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 PRESQUE ISLE AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552818",
            "telephone_number": "906-236-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "CHRISTOPHER",
        "middle_name": "TODD",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601000551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Marquette",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1401 Presque Isle Ave",
            "city": "Marquette",
            "state": "MI",
            "country_code": "US",
            "postal_code": "498552818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katherine King
• Kyle King, PAC
• Sierra King, FNPC
• H Saylor Kinsley
• Donn G. Kipka Jr., D.D.S.
• Shelia Kirk, LBSW
• Christopher John Kirkpatrick, M.D.
• Hannah M Kirkum
• Craig Laurence Kitchen
• Donna A Kitrick, LMSW

• All providers in Marquette, MI
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.